Individual
MRS. DENISE CICERO-SANTALENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1 JOHN H STEWART DR, NEWINGTON, CT 06111-3126
(860) 778-6864
Mailing address
160 THORNBUSH RD, WETHERSFIELD, CT 06109-3556
(860) 778-6864
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
561
CT
Other
Enumeration date
12/30/2018
Last updated
12/30/2018
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