Individual
CHRISTOPHER TACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
60 HICKSVILLE RD, CROMWELL, CT 06416-2409
(860) 788-5880
Mailing address
60 HICKSVILLE RD, CROMWELL, CT 06416-2409
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005408
CT
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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