Individual
TANYA AZZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 TROLLEY CROSSING LANE, MIDDLETOWN, CT 06457
(860) 575-1068
Mailing address
110 TROLLEY CROSSING LANE, MIDDLETOWN, CT 06457
(860) 575-1068
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002710
CT
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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