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Organization

LAVENDER LANE OCCUPATIONAL THERAPY PLLC

Active
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Organization

LAVENDER LANE OCCUPATIONAL THERAPY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CICELY REICH-STANIULIS MS, OTR/L (OCCUPATIONAL THERAPIST)
(203) 470-3060
Entity
Organization

Contact information

Practice address
13 BRIDGE VIEW DR, NEW FAIRFIELD, CT 06812-4010
(203) 470-3060
Mailing address
13 BRIDGE VIEW DR, NEW FAIRFIELD, CT 06812-4010
(203) 470-3060

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—

Other

Enumeration date
06/04/2026
Last updated
06/04/2026
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