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1265778641
SAMANTHA GRACE VERILLO
WEST HARTFORD, CT
NPI
1265778641
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CT 001065)
Enumeration Date
2012-12-12
Last Update Date
2012-12-12
Business Address
-- SAMANTHA GRACE VERILLO COTA/L
1 EMILY WAY
WEST HARTFORD, CT 06107-3136
Phone number: 860-561-7022
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Mailing Address
-- SAMANTHA GRACE VERILLO COTA/L
50 PIERCE ST UNIT 36
PLAINVILLE, CT 06062-3300
Phone number: 860-794-8033
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