Individual
BRENEE DENISE STANAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
31 UNION ST, VERNON, CT 06066-3126
(860) 872-0501
(860) 872-5298
Mailing address
31 UNION ST, VERNON, CT 06066-3126
(860) 872-0501
(860) 872-5298
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5474
CT
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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