Individual
KARA MARIE IACOVIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
18 WILDER ST, WATERTOWN, CT 06795
(203) 238-2645
Mailing address
18 WILDER ST, WATERTOWN, CT 06795-1923
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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