Fazzino, Samantha Lee
Fazzino, Samantha Lee is an individual health care provider with primary practice located at 304 Main St # A , Farmington CT 06032-2985. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Fazzino, Samantha Lee can be contacted via phone (860) 674-1824.Contact Information
Primary practice address
304 Main St # A
Farmington CT 06032-2985
Phone: (860) 674-1824
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 5582 | Connecticut |
Profile Details
| NPI number | 1346831799 |
|---|---|
| LBN Legal business name | Fazzino, Samantha Lee |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2021 |
| Last updated | Jan 28th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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