Individual
MRS. TIFFANY CAMILLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5 RICHARD BROWN DR, UNCASVILLE, CT 06382-1141
(860) 848-8466
Mailing address
169 BALTIC RD, NORTH FRANKLIN, CT 06254-1406
(860) 639-1437
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001636
CT
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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