Theresa C Luddecke, COTA/L
NPI #1992078893 in Tolland, Connecticut
Provider Information
- NPI Number
- 1992078893
- Entity Type
- Individual
- Name
- Theresa C Luddecke, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Feb 23, 2012
- Last Updated
- Feb 29, 2012
Practice Location
- Address
- 26 SHENIPSIT LAKE RD
- City
- Tolland
- State
- Connecticut
- ZIP Code
- 06084-2332
- Phone
- (860) 872-2999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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