Individual
ALISSA GANDIAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
652 W AVON RD, AVON, CT 06001-2906
(860) 673-2521
Mailing address
245 GREAT SWAMP RD, GLASTONBURY, CT 06033-1321
(860) 874-2280
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005844
CT
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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