Individual
RAECHAELL CORBETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
400 N MAIN ST, BRISTOL, CT 06010-4923
(860) 584-3400
Mailing address
400 N MAIN ST, BRISTOL, CT 06010-4923
(860) 584-3400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003197
CT
Other
Enumeration date
02/25/2008
Last updated
04/06/2009
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