Individual
MIA GRAYCE MASELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
350 CENTER ROCK GRN, OXFORD, CT 06478-3169
(203) 828-6790
Mailing address
350 CENTER ROCK GRN STE 10, OXFORD, CT 06478-3170
(203) 828-6790
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5945
CT
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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