Individual
JACQUELINE ANGELONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 FOXBRIDGE VILLAGE RD, BRANFORD, CT 06405-2237
(860) 449-2673
Mailing address
4 FOXBRIDGE VILLAGE RD, BRANFORD, CT 06405-2237
(860) 449-2673
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001530
CT
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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