Individual
MRS. TAMMY JEAN HAACK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
350 SALMON BROOK ST, GRANBY, CT 06035-1842
(860) 653-9888
Mailing address
11 GRANBY FARMS RD, GRANBY, CT 06035-2026
(860) 844-8802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004345
CT
225100000X
Physical Therapist
11746
MA
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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