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Individual

JOEL IANNACCONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2 ENTERPRISE DR, SHELTON, CT 06484-4600
(203) 427-6481
Mailing address
2 ENTERPRISE DR, SHELTON, CT 06484-4600

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
63.00176
CT

Other

Enumeration date
06/14/2016
Last updated
06/14/2016
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