Individual
JESSICA MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
132 NICOLL ST # 1, NEW HAVEN, CT 06511-2622
(860) 483-1162
Mailing address
132 NICOLL ST # 1, NEW HAVEN, CT 06511-2622
(860) 483-1162
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
3897
CT
225XP0200X
Pediatric Occupational Therapist
Primary
5728
AZ
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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