Individual
MS. ROBERTA CASCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
329 MAIN ST, SUITE 202, WALLINGFORD, CT 06492-2279
(203) 793-7963
(203) 793-2519
Mailing address
PO BOX 4388, WALLINGFORD, CT 06492-7563
(203) 793-7963
(203) 793-2519
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000578
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000578
LICENSE
CT
01
—
130000578CT11
BLUE CROSS
—
Enumeration date
04/20/2006
Last updated
09/28/2010
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