Candace Lynn Fazio

NPI #1871062059 in North Branford, Connecticut

Provider Information

NPI Number: 1871062059
Entity Type: Individual
Name: Candace Lynn Fazio
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Nov 18, 2018
Last Updated: Nov 18, 2018

Practice Location

Address: 88 NOTCH HILL RD
City: North Branford
State: Connecticut
ZIP Code: 06471-1846
Phone: (203) 315-2319

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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