Individual
ALLISON NICOLE DUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5662
CT
225XM0800X
Mental Health Occupational Therapist
5662
CT
225XP0200X
Pediatric Occupational Therapist
5662
CT
390200000X
Student in an Organized Health Care Education/Training Program
5662
CT
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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