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NPI Code Detail

MEDICARE: MRS. NANCY ANN CANNATELLI OTRL

MEDICARE: MRS. NANCY ANN CANNATELLI OTRL
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
1225X00000XOccupational Therapist000896CT

General Provider Information

NPI Number : 1669717872
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY ANN CANNATELLI OTRL
Provider Business Mailing Address
First Line : 125 HUCKLEBERRY LN
Second Line :
City : SOUTHINGTON
State : CT
Zip : 06489-4320
Country : US
Telephone Number : 860-621-3519
Fax Number :
Provider Business Practice Location Address
First Line : 1 EMILY WAY
Second Line :
City : WEST HARTFORD
State : CT
Zip : 06107-3136
Country : US
Telephone Number : 860-561-7022
Fax Number : 860-313-5434
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2012
Last Update Date : 11/29/2012

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Directions to “ MRS. NANCY ANN CANNATELLI OTRL” Practice Location

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