Individual
SAMANTHA GRACE VERILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 EMILY WAY, WEST HARTFORD, CT 06107-3136
(860) 561-7022
Mailing address
50 PIERCE ST, UNIT 36, PLAINVILLE, CT 06062-3300
(860) 794-8033
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001065
CT
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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