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1700243052
THERESA BORTOLAN
WALLINGFORD, CT
NPI
1700243052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CT 1635)
Enumeration Date
2016-01-18
Last Update Date
2016-01-18
Business Address
-- THERESA BORTOLAN
22 MASONIC AVE
WALLINGFORD, CT 06492-3048
Phone number: 203-679-5959
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Mailing Address
-- THERESA BORTOLAN
22 MASONIC AVE
WALLINGFORD, CT 06492-3048
Phone number:
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