Kelly A Massucci M.ED. OTR/L

NPI 1013976703 - Specialist - 174400000X

NPI Details
NPI 1013976703
Gender Female
Enumeration Date 03/21/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
270 FARMINGTON AVE
SUITE 126
FARMINGTON CT, 06032-1909, US
Phone (860) 674-1824
Fax
Business Location
111 FOXCROFT RD
WEST HARTFORD CT, 06119-1018, US
Phone (860) 523-8677
Fax
Toxanomy
Taxonomy Code 174400000X
License State Connecticut
License Number 002268
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According to our database, Kelly A Massucci M.ED. OTR/L NPI is 1013976703, taxonomy code is 174400000X and license number is 002268, license state is located at Connecticut. Kelly A Massucci M.ED. OTR/L physically located at 270 Farmington Ave, Farmington CT, 06032-1909. NPI Number Kelly A Massucci M.ED. OTR/L has the Individual type.

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1013976703 NPI number is provided on an as is basis without warranty of any kind. 1013976703 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly A Massucci M.ED. OTR/L are for informational purposes only.