Individual
RENE PETRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
31 VAUXHALL ST, NEW LONDON, CT 06320-5723
(860) 442-4363
Mailing address
31 VAUXHALL ST, NEW LONDON, CT 06320-5723
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001281
CT
224Z00000X
Occupational Therapy Assistant
1281
CT
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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