Individual
MR. CHARLES DANA SAUNDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
915 ELLA T GRASSO BLVD, NEW HAVEN, CT 06519-5516
(203) 865-5155
Mailing address
23A SOUTHWORTH ST, DEEP RIVER, CT 06417-2031
(203) 298-8459
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001104
CT
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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