NPI 1205170479

Marnie Capobianco

Practitioner Occupational Therapy Assistant Waterbury, CT

Practice location

Address: 145 Grove St, Waterbury, CT 06710-2202
Phone: (203) 753-7205

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 000862 (CT)

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Registry record

NPI: 1205170479
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Nov 2012
Record last updated: 12 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.