MS. Lisa Ann Mammano, MS RPT

NPI #1629134945 in Madison, Connecticut

Provider Information

NPI Number: 1629134945
Entity Type: Individual
Name: MS. Lisa Ann Mammano, MS RPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MS RPT
Enumeration Date: Dec 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 23 WOODLAND RD
City: Madison
State: Connecticut
ZIP Code: 06443
Phone: (203) 245-9293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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