Individual
MEGAN MICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6949 MAIN ST, TRUMBULL, CT 06611-6304
(203) 216-3701
(631) 651-1877
Mailing address
11 GREAT OAK LN, REDDING, CT 06896-1921
(203) 216-3701
(203) 651-1877
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001660
CT
Other
Enumeration date
01/03/2018
Last updated
06/07/2022
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