Individual
MRS. BETHANY PISATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SEABURY DR, BLOOMFIELD, CT 06002-2650
(186) 028-6024
Mailing address
200 SEABURY DR, BLOOMFIELD, CT 06002-2650
(186) 028-6024
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002544
CT
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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