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Individual

MRS. TRACEY JENINE SCHIPPANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
444 WOLCOTT RD, WOLCOTT, CT 06716-2639
(203) 879-4695
Mailing address
241 WOODTICK RD, WOLCOTT, CT 06716-2757
(203) 879-6060

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003907
CT

Other

Enumeration date
06/25/2007
Last updated
07/08/2007
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