Individual provider · Type 1 NPI
Kelly Capobianco, ATC, CSCS
Specialist · Oneco, CT
NPI number
1437203577
Active
Practice location
1013 Plainfield Pike
Oneco, CT 06373
Mailing address
PO Box 265
Oneco, CT 06373-0265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 146561574 (CT) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1437203577
Kelly Capobianco, ATC, CSCS's National Provider Identifier is 1437203577, issued on Jan 23, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oneco, CT. The record was last updated on Mar 25, 2022.