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1821687997
TERESA LEE DEGIACOMO
WEST HARTFORD, CT
NPI
1821687997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
Enumeration Date
2021-01-13
Last Update Date
2023-06-07
Business Address
Mrs. TERESA LEE DEGIACOMO COTA/L
130 LOOMIS DR
WEST HARTFORD, CT 06107
Phone number: 860-521-8700
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Mailing Address
Mrs. TERESA LEE DEGIACOMO COTA/L
130 LOOMIS DR
WEST HARTFORD, CT 06107
Phone number: 860-521-8700
Copy
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