-- THERESA BORTOLAN --
Individual Provider (NPI-1)
Active
Occupational Therapy Assistant
Provider Information
- NPI Number
1700243052- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 22 MASONIC AVE, WALLINGFORD, CT, 064923048
- Phone
- (203) 679-5959
Specialties & Taxonomies
Occupational Therapy Assistant
Primary License: CT #1635
All Addresses
MAILING
22 MASONIC AVE
WALLINGFORD, CT, 064923048