Individual
MRS. MIRKA NORMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, MA, CHT, COMT
Contact information
Practice address
52 HAZELNUT HILL RD, GROTON, CT 06340-3268
(860) 446-8265
(860) 445-2076
Mailing address
52 HAZELNUT HILL RD, GROTON, CT 06340-3268
(860) 446-8265
(860) 445-2076
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4617-026
WI
225XH1200X
Hand Occupational Therapist
109297
TX
225XH1200X
Hand Occupational Therapist
4617-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41064900
—
WI
Enumeration date
02/02/2007
Last updated
09/15/2020
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