Individual
MS. VIVIAN IVETTE MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 545-2948
Mailing address
101 SOMERSET ST, SPRINGFIELD, MA 01108-2617
(413) 530-7403
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
003357
CT
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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