Individual
AMANDA FACCIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
226 MILL HILL AVE, BRIDGEPORT, CT 06610-2826
(203) 336-7339
Mailing address
226 MILL HILL AVE, BRIDGEPORT, CT 06610-2826
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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