Individual
MS. MARISSA WUENNEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6448 MAIN ST, TRUMBULL, CT 06611-2075
(203) 268-6204
Mailing address
38 WHITE BIRCH DR, TRUMBULL, CT 06611-3712
(203) 610-3118
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004755
CT
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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