Individual
SHANNON HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
15 RIVERSIDE AVENUE, BRISTOL, CT 06010
(508) 468-7682
Mailing address
53 PARKER ST APT D106, WALLINGFORD, CT 06492-2375
(508) 468-7682
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
012309
CT
Other
Enumeration date
06/17/2021
Last updated
06/22/2021
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