Individual
RACHEL GRAVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1268 MAIN ST, SUITE 204, NEWINGTON, CT 06111-3038
(860) 216-1100
Mailing address
130 FEDERAL ST, WEST HARTFORD, CT 06110-1724
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004397
CT
Other
Enumeration date
02/05/2017
Last updated
02/05/2017
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