Individual provider · Type 1 NPI
Lisa Ann Mammano, MS RPT
Specialist · Madison, CT
NPI number
1629134945
Active
Practice location
23 Woodland Rd
Madison, CT 06443
Fax (203) 245-2522
Mailing address
23 Woodland Rd
Madison, CT 06405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 006580 (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.
Another provider at this address
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About NPI 1629134945
Lisa Ann Mammano, MS RPT's National Provider Identifier is 1629134945, issued on Dec 29, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Madison, CT. The record was last updated on Jul 8, 2007.