Individual
ALICIA COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14 LAKEVIEW RD, BROOKFIELD, CT 06804-1510
(203) 982-7138
Mailing address
14 LAKEVIEW RD, BROOKFIELD, CT 06804-1510
(203) 982-7138
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
022017
NY
225X00000X
Occupational Therapist
Primary
4865
CT
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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