Individual
MRS. STEPHANIE UCCELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
21 WATERVILLE RD, ALLSTAR, AVON, CT 06001-2097
(860) 677-2934
Mailing address
21 WATERVILLE RD, ALLSTAR, AVON, CT 06001-2097
(860) 677-2934
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001047
CT
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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