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Individual

BRIANNA L COUTURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1157 ENFIELD ST, ENFIELD, CT 06082-4367
(860) 745-1641
Mailing address
3 BEECH RD, ENFIELD, CT 06082-4401
(860) 335-2240

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001395
CT

Other

Enumeration date
10/29/2018
Last updated
10/29/2018
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