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Individual

ANDREA COLCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
546 CHICOPEE ST, CHICOPEE, MA 01013-2148
(413) 315-4205
Mailing address
22 MISTY MEADOW RD, ENFIELD, CT 06082-3943

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
PENDING
MA

Other

Enumeration date
06/01/2021
Last updated
06/01/2021
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