Organization
POTENTIAL CT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH FRASCARELLI OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(860) 595-2334
Entity
Organization
Contact information
Practice address
3 RATHBUN RD APT 10, NIANTIC, CT 06357-1745
(860) 595-2334
Mailing address
3 RATHBUN RD APT 10, NIANTIC, CT 06357-1745
(860) 595-2334
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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