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1699101949
MARISA PROKOSCH
HAMDEN, CT
NPI
1699101949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CT 003053)
Enumeration Date
2013-09-18
Last Update Date
2013-09-18
Business Address
Mrs. MARISA PROKOSCH OTR
34 KNOB HILL DR
HAMDEN, CT 06518-2428
Phone number: 631-335-5806
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Mailing Address
Mrs. MARISA PROKOSCH OTR
34 KNOB HILL DR
HAMDEN, CT 06518-2428
Phone number: 631-335-5806
Copy
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