Individual
VANESSA PRALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3708
Mailing address
467 NORTH ST, RIDGEFIELD, CT 06877-2515
(845) 249-5232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4190
CT
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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