Individual
SAMANTHA IMPELLIZERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
78 HARVARD AVE STE 220, STAMFORD, CT 06902-5548
(203) 422-2193
Mailing address
43 GLENWOOD RD, NORTH BRANFORD, CT 06471-1526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
4355
CT
Other
Enumeration date
01/05/2015
Last updated
02/20/2024
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