Individual
VENICE M ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 E GRAND AVE APT C, NEW HAVEN, CT 06513-4001
(267) 752-8908
Mailing address
28 E GRAND AVE APT C, NEW HAVEN, CT 06513-4001
(267) 752-8908
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001430
CT
Other
Enumeration date
07/08/2018
Last updated
07/08/2018
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