MEDICARE: MRS. SHERRI LOVE HEALY ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1790779346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERRI LOVE HEALY ATC

Provider Business Mailing Address
First Line	:	8 NICHOLS ST
Second Line	:
City	:	ANSONIA
State	:	CT
Zip	:	06401-1107
Country	:	US
Telephone Number	:	203-732-3957
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 NICHOLS ST
Second Line	:
City	:	ANSONIA
State	:	CT
Zip	:	06401-1107
Country	:	US
Telephone Number	:	203-732-3957
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	07/08/2007

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Directions to “ MRS. SHERRI LOVE HEALY ATC” Practice Location

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