Individual
MAURICE E LEGARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
355 LAWLOR TER, STRATFORD, CT 06614-2148
(134) 788-4463
Mailing address
355 LAWLOR TER, STRATFORD, CT 06614-2148
(134) 788-4463
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008411-01
NY
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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