Individual
SAMANTHA PIETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69 LYME ST, OLD LYME, CT 06371-2359
(860) 434-1651
Mailing address
23 ROWLAND RD, OLD LYME, CT 06371-1520
(860) 876-0221
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1155
CT
Other
Enumeration date
02/28/2020
Last updated
05/02/2022
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