Individual
ASHLEY MOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 LEON RD, BRISTOL, CT 06010-6903
(860) 818-7407
Mailing address
3 LEON RD, BRISTOL, CT 06010-6903
(860) 818-7407
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001729
CT
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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