Individual
MRS. TERESA LEE DEGIACOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
130 LOOMIS DR, WEST HARTFORD, CT 06107
(860) 521-8700
(860) 521-7452
Mailing address
130 LOOMIS DR, WEST HARTFORD, CT 06107
(860) 521-8700
(860) 521-7452
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
06/07/2023
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