Individual
MS. SAMANTHA LEE FAZZINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
304 MAIN ST # A, FARMINGTON, CT 06032-2985
(860) 674-1824
Mailing address
160 PINE KNOB DR, SOUTH WINDSOR, CT 06074-2340
(860) 992-5036
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5582
CT
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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