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Individual

REBECCA CHASE-PELLICONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
110 COURT ST STE 3, CROMWELL, CT 06416-1273
(203) 521-3847
Mailing address
148 PASTORS WALK, MONROE, CT 06468-1070
(203) 521-3847

Taxonomy

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

Other

Enumeration date
12/02/2015
Last updated
09/20/2024
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