Individual
STEPHANIE MARY KASULKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 FIRETOWN RD, GOVERNOR'S HOUSE NURSING HOME, SIMSBURY, CT 06070-1965
(860) 658-1018
Mailing address
36 FIRETOWN RD, GOVERNOR'S HOUSE NURSING HOME, SIMSBURY, CT 06070-1965
(860) 658-1018
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
018673-1
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
004413
CT
Other
Enumeration date
08/22/2014
Last updated
06/24/2015
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