Individual
TORY DEAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9 COVERED BRIDGE RD, NEWTOWN, CT 06470-1279
(203) 470-1606
Mailing address
9 COVERED BRIDGE RD, NEWTOWN, CT 06470-1279
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
349517
NY
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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