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1992459812
SHANNON NICHOLLS
WATERBURY, CT
NPI
1992459812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 13420)
Enumeration Date
2022-02-09
Last Update Date
2022-02-09
Business Address
SHANNON NICHOLLS DPT
2150 E MAIN ST
WATERBURY, CT 06705-2608
Phone number: 203-598-0400
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Mailing Address
SHANNON NICHOLLS DPT
22 TOMPKINS STREET
WATERBURY, CT 06708-1458
Phone number:
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