Individual
MRS. ALICIA BLISS CAPPELLO
Active
Sole proprietor
No
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
449 LAKE RD, ANDOVER, CT 06232-1532
(860) 742-6037
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000438
CT
Other
Enumeration date
12/08/2012
Last updated
12/08/2012
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