Individual
MS. MARY E CORTESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3 RIBIE RD, WALLINGFORD, CT 06492-3814
(203) 376-5580
Mailing address
3 RIBIE RD, WALLINGFORD, CT 06492-3814
(203) 376-5580
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000799
CT
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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