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1154501716
MELISSA J KNICKERBOCKER
SOUTHINGTON, CT
NPI
1154501716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CT 003222)
Enumeration Date
2007-11-11
Last Update Date
2007-11-11
Business Address
Mrs. MELISSA J KNICKERBOCKER OTR/L
45 MERIDEN AVE
SOUTHINGTON, CT 06489-3214
Phone number: 860-378-1234
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Mailing Address
Mrs. MELISSA J KNICKERBOCKER OTR/L
422 WESTLAND AVE
CHESHIRE, CT 06410-3142
Phone number:
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