Individual
MRS. PENELOPE DONOFRIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 TOMPKINS ST, WATERBURY, CT 06708-1417
(203) 419-0381
(203) 419-0389
Mailing address
71 EDWIN LN, THOMASTON, CT 06787-1266
(860) 283-4812
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001041
CT
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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