Individual
KYLE CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 MAIN ST, GLASTONBURY, CT 06033-2218
(860) 430-1762
Mailing address
2300 MAIN ST, GLASTONBURY, CT 06033-2218
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
48.006408
CT
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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