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Individual

JEANNE M. KELLOGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
36 FAIRLANE DR., SHELTON, CT 06484
(203) 231-2039
Mailing address
36 FAIRLANE DR., SHELTON, CT 06484
(203) 231-2039

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001452
CT

Other

Enumeration date
01/22/2014
Last updated
01/22/2014
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