Individual
AMANDA L REALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
19 HALLS RD, SUITE 204, OLD LYME, CT 06371-1457
(860) 434-5524
Mailing address
3 KEELY DR, CHARLTON, MA 01507-1473
(508) 434-0008
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/02/2011
Last updated
06/23/2021
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