Individual
ALICIA M DICLEMENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
304 MAIN ST, FARMINGTON, CT 06032-2985
(860) 674-1824
Mailing address
226 NEWGATE RD, EAST GRANBY, CT 06026-9557
(413) 335-9046
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5748
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
09/08/2021
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