Individual
MRS. MAXINE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049
(203) 365-6443
(203) 396-1046
Mailing address
4200 PARK AVE, BRIDGEPORT, CT 06604-1049
(203) 365-6443
(203) 396-1046
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001136
CT
Other
Enumeration date
03/15/2010
Last updated
06/26/2025
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