Individual provider · Type 1 NPI

Michelle Lynne Ciccarelli, OTR/L

Occupational Therapist · Trumbull, CT

NPI number 1104160993 Active

Practice location

6448 Main St
Trumbull, CT 06611-2075

Mailing address

1077 Amity Rd
Bethany, CT 06524-3058

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X002090 (CT)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1104160993

Michelle Lynne Ciccarelli, OTR/L's National Provider Identifier is 1104160993, issued on Nov 16, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Trumbull, CT. The record was last updated on Nov 16, 2012.