Individual
CAROLE CHAMPAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6448 MAIN ST, TRUMBULL, CT 06611-2075
(203) 268-6204
Mailing address
21 KNEEN STREET EXT, SHELTON, CT 06484-3937
(203) 274-0777
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003012
CT
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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