Organization
ADVANCED THERAPY SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIE LOUISE MANCINI OTR/L (PRESIDENT)
(860) 721-9999
Entity
Organization
Contact information
Practice address
465 SILAS DEANE HWY, WETHERSFIELD, CT 06109-2134
(860) 721-9999
(860) 721-9903
Mailing address
465 SILAS DEANE HWY, WETHERSFIELD, CT 06109-2134
(860) 721-9999
(860) 721-9903
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
002805
CT
235Z00000X
Speech-Language Pathologist
004091
CT
Other
Enumeration date
04/17/2008
Last updated
05/03/2011
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