Individual
SUSAN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
99 S CANAAN RD, CANAAN, CT 06018-2502
(860) 824-3844
(860) 824-5462
Mailing address
99 S CANAAN RD, CANAAN, CT 06018-2502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000958
CT
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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