RANDY LOUIS CHAMPAGNE

GLASTONBURY, CT
NPI1285061762
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CT  1418)
Enumeration Date2013-09-30
Last Update Date2013-09-30
Business Address
-- RANDY LOUIS CHAMPAGNE COTA/L
72 SALMON BROOK DR
GLASTONBURY, CT 06033-2131
Phone number: 860-633-5244
Mailing Address
-- RANDY LOUIS CHAMPAGNE COTA/L
10 BRIARWOOD LN
DURHAM, CT 06422-1219
Phone number:
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