Individual
MELISSA HASTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89 BUTLER AVE, SOUTHINGTON, CT 06489-1206
(386) 756-4395
Mailing address
89 BUTLER AVE, SOUTHINGTON, CT 06489-1206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4391
CT
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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