Individual
TIANA LOVELESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
189 ALPS RD, BRANFORD, CT 06405-4771
(203) 315-2615
Mailing address
277 OLD STAGECOACH RD, MERIDEN, CT 06450-6651
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004745
CT
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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