Individual
SHANNON MICHALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 LEWIS AVE, MERIDEN, CT 06451-2101
(203) 694-8220
Mailing address
489 ROUTE 148, KILLINGWORTH, CT 06419-1111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003161
CT
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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