Individual
LUCIANA FRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
32 BIRCH AVE, MILFORD, CT 06460-5301
(203) 996-3209
Mailing address
32 BIRCH AVE, MILFORD, CT 06460-5301
(203) 996-3209
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000907
CT
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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