Search › Connecticut › 224Z00000X
Randy Champagne, COTA/L
NPI 1285061762 · on the registry since 2013
Practice
- Address
- 72 Salmon Brook Dr
Glastonbury, CT 06033 - Phone
- (860) 633-5244
- Organisation at this address
- Wcg Ct Pllc
Sb Opco Llc
Bh Salmon Brook Llc
Health Resources Of Glastonbury, Inc
72 Salmon Brook Drive Operations LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut