Individual
DANIELLE LEE THIBODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
238B TOLLAND TPKE, MANCHESTER, CT 06042-5701
(860) 730-6889
Mailing address
55 MOUNT VERNON DR APT D, VERNON, CT 06066-6555
(860) 845-8393
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
000405
CT
Other
Enumeration date
06/04/2012
Last updated
06/22/2015
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