Individual
MARC IANNUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
56 PARTRIDGE DR, SOUTHINGTON, CT 06489-4017
(203) 979-9440
(866) 232-5535
Mailing address
56 PARTRIDGE DR, SOUTHINGTON, CT 06489-4017
(203) 979-9440
(866) 232-5535
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000878
CT
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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