Individual
MS. MICHELE ANN TARANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, OTR/L, CLVT
Contact information
Practice address
48 LAKE ST, WALLINGFORD, CT 06492-2304
(860) 706-9894
Mailing address
48 LAKE ST, WALLINGFORD, CT 06492-2304
(203) 228-7461
(203) 626-5391
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001214
CT
Other
Enumeration date
11/07/2007
Last updated
03/26/2014
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