Individual
EVIS MILAGROS CRESPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
31 STAPLES ST, DANBURY, CT 06810-5396
(203) 794-9466
Mailing address
465 PRATT STREET EXT FL 2, MERIDEN, CT 06450-3429
(203) 443-0437
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2207
CT
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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