Individual
SONJA MAZZULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
31 VAUXHALL ST, NEW LONDON, CT 06320-5723
(860) 442-4363
(860) 447-3749
Mailing address
183 N BRIDE BROOK RD, EAST LYME, CT 06333-1409
(860) 917-6786
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002152
CT
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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