Individual
KRISTEN POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 MAIN ST, GLASTONBURY, CT 06033-2218
(860) 430-1762
Mailing address
243 INJUN HOLLOW RD, HADDAM NECK, CT 06424-3023
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
001128
CT
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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