Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1200X | Ergonomics | 00006248 | CT |
Y | 225XE1200X | Ergonomics | 00006248 | CT |
NPI | 1699333971 |
---|---|
Provider Name | Corrine A Hassett |
First Address | East Lyme, CT 06333-1326 |
Second Address | East Lyme, CT 06333-1326 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2019 |
Last Update Date | 03/06/2019 |