Individual
MICHAEL CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
999 ORONOQUE LN, STRATFORD, CT 06614-1379
(203) 870-2022
Mailing address
999 ORONOQUE LN, STRATFORD, CT 06614-1379
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5093
CT
225X00000X
Occupational Therapist
OT01758
RI
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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