Individual
NICOLE L COLELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
3396 E MAIN ST, WATERBURY, CT 06705-3812
(203) 754-2161
(203) 759-7359
Mailing address
3396 E MAIN ST, WATERBURY, CT 06705-3812
(203) 754-2161
(203) 759-7359
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003733
CT
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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