Individual
JACQUELINE CAPUZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
50 W BROADWAY APT 331, SOUTH BOSTON, MA 02127-1144
(617) 596-1012
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4434
MA
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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