Individual
MR. RACHID TAYOUBI IDRISSI I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 IONE DR, MERIDEN, CT 06450-6669
(203) 715-1221
Mailing address
103 IONE DR, MERIDEN, CT 06450-6669
(203) 715-1221
Taxonomy
Speciality
Code
Description
License number
State
224ZR0403X
Driving and Community Mobility Occupational Therapy Assistant
Primary
027625975
CT
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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