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NPI Code Detail

MEDICARE: MRS. JOY MARIE CONSIGLIO COTA/L, LMT

MEDICARE:  MRS. JOY MARIE CONSIGLIO  COTA/L, LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant000989CT
2225700000XMassage Therapist00735CT

General Provider Information

NPI Number : 1285882290
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOY MARIE CONSIGLIO COTA/L, LMT
Provider Business Mailing Address
First Line : 32 COACH DR
Second Line :
City : NORTH HAVEN
State : CT
Zip : 06473-1511
Country : US
Telephone Number : 860-748-7515
Fax Number :
Provider Business Practice Location Address
First Line : 32 COACH DR
Second Line :
City : NORTH HAVEN
State : CT
Zip : 06473-1511
Country : US
Telephone Number : 860-748-7515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2008
Last Update Date : 03/21/2016

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Directions to “ MRS. JOY MARIE CONSIGLIO COTA/L, LMT” Practice Location

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