Individual
THERESA LUNDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
263 SHARON DR, CHESHIRE, CT 06410-4200
(516) 639-2900
Mailing address
263 SHARON DR, CHESHIRE, CT 06410-4200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3254
CT
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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