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Individual

MRS. MELISSA MARIE BROXTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
465 SILAS DEANE HWY, WETHERSFIELD, CT 06109-2134
(860) 721-9999
(860) 721-9903
Mailing address
465 SILAS DEANE HWY, WETHERSFIELD, CT 06109-2134
(860) 721-9999
(860) 721-9903

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
002964
CT
225XP0200X
Pediatric Occupational Therapist
Primary
002964
CT

Other

Enumeration date
03/27/2007
Last updated
07/09/2008
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