Individual
MISS HANNAH M HALLISSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
800 COUNTRY CLUB RD, WATERBURY, CT 06708-3240
(203) 596-8586
Mailing address
36 WINDWOOD WAY, MYSTIC, CT 06355-2155
(860) 917-8693
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000982
CT
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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