Individual
KELLY E ORSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1931 BLACK ROCK TPKE, ATTN: CREDENTIALING, FAIRFIELD, CT 06825-3506
(203) 332-4363
(203) 330-6761
Mailing address
1931 BLACK ROCK TPKE, ATTN: CREDENTIALING, FAIRFIELD, CT 06825-3506
(203) 332-4363
(203) 330-6761
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004345
CT
Other
Enumeration date
12/17/2014
Last updated
12/09/2019
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