Individual
BETHANY MICHELLE LASELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
209 CHERRY ST, MILFORD, CT 06460-3501
(203) 874-5437
Mailing address
1 STILES RD, STE 203, SALEM, NH 03079-4804
(855) 390-7774
(855) 734-4666
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5631
CT
Other
Enumeration date
06/10/2021
Last updated
11/23/2021
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