Most Relevant Information
Provider Data
| NPI Number: | 1003443227 |
| Provider Name: | RENE PETRONE COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 1281 |
Most Important Dates
| Enumeration Date: | 03/26/2020 |
| Last Updated: | 03/26/2020 |
Provider Practice Location
31 VAUXHALL ST
NEW LONDON
CT
063205723
Practice Location Phone/Fax
| Phone: | 8604424363 |
| Fax: |
Provider Mailing Location
31 VAUXHALL ST
NEW LONDON
CT
063205723
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |