# DTG GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063069029
- **Authorized official:** CHAIM LASSER (MEMBER)
- **Authorized official phone:** (203) 578-7225

## Contact information

- **Practice address:** 92 BROOKSIDE RD STE 103, WATERBURY, CT 06708-1402
- **Practice address phone:** (203) 578-7225
- **Mailing address:** 92 BROOKSIDE RD STE 103, WATERBURY, CT 06708-1402
- **Mailing address phone:** (203) 578-7225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/23/2019
- **Last updated:** 08/23/2019
