Individual
THERESA MAUREEN GREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1089A WOODTICK RD, WOLCOTT, CT 06716-2123
(860) 874-8443
Mailing address
1089A WOODTICK RD, WOLCOTT, CT 06716-2123
(860) 874-8443
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001594
CT
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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