Individual
GAETANA DESROCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
72 SALMON BROOK DR, GLASTONBURY, GLASTONBURY, CT 06033-2131
(860) 633-5244
Mailing address
331 NAUBUC AVE, GLASTONBURY, GLASTONBURY, CT 06033-1010
(860) 377-2000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001015
CT
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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