Individual
MARCIE LYN PETRUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
35 BUNKER HILL RD, WATERTOWN, CT 06795-3304
(860) 274-5428
Mailing address
974 HIGHLAND AVE, WATERBURY, CT 06708-4627
(203) 527-7087
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001198
CT
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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