Individual
HEATHER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1253 HARTFORD TPKE, VERNON, CT 06066-4560
(860) 375-7315
Mailing address
1253 HARTFORD TURNPIKE VERNON, VERNON, CT 06066
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001455
CT
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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