Hassen Stack, Kathleen

Hassen Stack, Kathleen is an sole proprietor health care provider with primary practice located at 4 Glen Road , North Branford CT 06471-1263. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Hassen Stack, Kathleen can be contacted via phone (203) 415-9072.

Contact Information

Primary practice address
4 Glen Road North Branford CT 06471-1263
Phone: (203) 415-9072
Fax: (203) 937-1064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 005200 Connecticut

Profile Details

NPI number 1952522930
LBN Legal business name Hassen Stack, Kathleen
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952522930 NPPES
Connecticut Other 005200 PT LICENSE NUMBER
Connecticut Other 080005200CT01 PT LICENSE NUMBER
Connecticut Other 11340795 PT LICENSE NUMBER

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