Individual
MRS. DANIELLE MARIE JAGOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3708
(203) 384-4597
Mailing address
946 HUNTINGTON RD, STRATFORD, CT 06614-2736
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001028
CT
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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