Individual
ALLISON A IANCALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1073 N BENSON RD, FAIRFIELD, CT 06824-5171
(203) 254-4000
Mailing address
355 SUBURBAN AVE, FAIRFIELD, CT 06825-1851
(203) 209-3387
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000099
CT
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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