Individual
NICOLE MICHELE LABONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11 SUNSET RD, ELLINGTON, CT 06029-3715
(860) 810-6645
Mailing address
11 SUNSET RD, ELLINGTON, CT 06029-3715
(860) 810-6645
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002579
CT
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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