Individual
MS. HEATHER ANN DIBIASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1715 ELLINGTON RD, SOUTH WINDSOR, CT 06074-2707
(860) 644-4408
Mailing address
26 FERNWOOD DR, WINDSOR LOCKS, CT 06096-1408
(860) 614-1487
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002612
CT
Other
Enumeration date
04/25/2007
Last updated
11/27/2024
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