Individual
JESSICA JOY ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
990 MAIN ST N, SOUTHBURY, CT 06488-1267
(203) 264-9135
Mailing address
263 SPENCER RD, TORRINGTON, CT 06790-2533
(860) 806-2821
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001753
CT
Other
Enumeration date
04/07/2018
Last updated
04/07/2018
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