Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 004152 | CT |
NPI | 1336526375 |
---|---|
Provider Name | Amanda Francini |
First Address | Marlborough, CT 06447-1113 |
Second Address | Marlborough, CT 06447-1113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2015 |
Last Update Date | 29/04/2015 |