Individual
MRS. EMANUELA NATASHA DACRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
225 AMITY RD, WOODBRIDGE, CT 06525-2206
(203) 387-0076
Mailing address
56 TREELAND RD, SHELTON, CT 06484-2732
(203) 906-8329
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001917
CT
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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