NPI 1053687715

Jenna Russell Dallinga, LMT

Practitioner Specialist Danbury, CT

Practice location

Address: 40 Lake Avenue Ext, Danbury, CT 06811-5283
Phone: (845) 612-9849
Mailing address: 103 Harvest Dr, Brewster, NY 10509-3706

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 005456 (CT)

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Registry record

NPI: 1053687715
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Mar 2012
Record last updated: 27 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.