Individual
KELLY VESCERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
655 STRAITS TPKE, WATERTOWN, CT 06795-3369
(617) 671-8953
Mailing address
41 EAST ST, WATERTOWN, CT 06795-2030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004422
CT
Other
Enumeration date
10/09/2016
Last updated
06/14/2023
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