Individual
JANET MAY EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
29 HIGHLAND ST, WEST HARTFORD, CT 06119-1324
(860) 236-5623
Mailing address
111 LAKE SHORE TRL, GLASTONBURY, CT 06033-4015
(860) 652-9681
(860) 233-6318
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001107
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001107
OT LICENSE
CT
Enumeration date
04/03/2007
Last updated
07/08/2007
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