Provider Demographics
NPI:1356817076
Name:SAVENELLI, DELANEY ANN (CERTIFIED FITTER)
Entity Type:Individual
Prefix:
First Name:DELANEY
Middle Name:ANN
Last Name:SAVENELLI
Suffix:
Gender:F
Credentials:CERTIFIED FITTER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ALISON AVE
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-3302
Mailing Address - Country:US
Mailing Address - Phone:203-314-7558
Mailing Address - Fax:203-269-0825
Practice Address - Street 1:4 ALISON AVE
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-3302
Practice Address - Country:US
Practice Address - Phone:203-314-7558
Practice Address - Fax:203-269-0825
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-20
Last Update Date:2018-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies