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Ms. Lisa Ann Mammano, MSRPT
Specialist in Madison, Connecticut
NPI 1629134945

Lisa Ann Mammano is a Specialist based in Madison, CT. Lisa Ann Mammano practices in Madison, CT and has the professional credentials of MSRPT. The NPI Number for Lisa Ann Mammano is 1629134945 and holds a License No. 006580 (Connecticut).

The current practice location address for Lisa Ann Mammano is 23 Woodland Rd, Madison, CT and can be reached out via phone at 203-245-9293 and via fax at 203-245-2522.

Location: 23 Woodland Rd, Madison, CT, 06405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629134945
Provider Name
Lisa Ann Mammano
Credential
MSRPT
Provider Entity Type
Individual
Gender
Female
Address
23 Woodland Rd, Madison, CT, 06405
Phone Number
203-245-9293
Fax Number
203-245-2522
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
23 Woodland Rd
City
Madison
State
Connecticut
Zip
06443
Phone Number
203-245-9293
Fax Number
203-245-2522
person
Provider Business Mailing Address Details
Address
23 Woodland Rd
City
Madison
State
Connecticut
Zip
06443
Phone Number
203-245-9293
Fax Number
203-245-2522
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
006580 (Connecticut)
Definition
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.
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