Individual
ELISSA GONZALEZ MARUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 SILAS DEANE HWY, WETHERSFIELD, CT 06109-2134
(860) 721-9999
Mailing address
465 SILAS DEANE HWY, WETHERSFIELD, CT 06109-2134
(860) 721-9999
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
004084
CT
Other
Enumeration date
11/29/2007
Last updated
08/06/2013
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