Individual
KRISTA BRODGINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 646-1222
Mailing address
14 PIPER LN, SOMERS, CT 06071-2243
(860) 519-8733
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
5563
CT
Other
Enumeration date
03/23/2021
Last updated
11/20/2024
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