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Individual

MRS. JESSICA MARIE ANGAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
147 PARK ROAD, WATERBURY, CT 06708
(203) 573-0417
Mailing address
147 PARK RD, WATERBURY, CT 06708-2741
(203) 573-0417

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005232
CT

Other

Enumeration date
08/25/2008
Last updated
08/25/2008
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