Individual
MARCY CELESTE RACICOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
26 SHENIPSIT LAKE RD, TOLLAND, CT 06084-2332
(860) 872-2999
Mailing address
26 SHENIPSIT LAKE RD, TOLLAND, CT 06084-2332
(413) 872-2999
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
003948
CT
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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