Individual
JACKLYN T. SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
410 STATE /ST,, NORTH HAVEN, CT 06473
(203) 710-7654
Mailing address
410 STATE /ST,, NORTH HAVEN, CT 06473
(203) 710-7654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003560
CT
Other
Enumeration date
12/28/2006
Last updated
09/07/2012
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