Individual
MRS. JENNIFER LEE IANNUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2889 FAIRFIELD AVENUE, BRIDEGPORT, CT 06606-1744
(203) 913-6978
Mailing address
46 DRIFTWOOD LN, TRUMBULL, CT 06611-1861
(203) 880-5221
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
005735
CT
Other
Enumeration date
07/02/2006
Last updated
02/18/2013
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