Individual
DEBBIE COOKE CHARPENTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 DWIGHT ST, BRISTOL, CT 06010-4105
(860) 992-2754
Mailing address
22 DWIGHT ST, BRISTOL, CT 06010-4105
(860) 992-2754
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001347
CT
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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