Pranulin Phrommavanh

NPI #1730909235 in Putnam, Connecticut

Provider Information

NPI Number
1730909235
Entity Type
Individual
Name
Pranulin Phrommavanh
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Enumeration Date
Oct 10, 2024
Last Updated
Oct 10, 2024

Practice Location

Address
12 S MAIN ST
City
Putnam
ZIP Code
06260-1906
Phone
(860) 928-8360

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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