MRS. Kathleen Hassen Stack, PT

NPI #1952522930 in North Branford, Connecticut

Provider Information

NPI Number: 1952522930
Entity Type: Individual
Name: MRS. Kathleen Hassen Stack, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4 GLEN ROAD
City: North Branford
State: Connecticut
ZIP Code: 06471-1263
Phone: (203) 415-9072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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