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Individual

SUZANNE CAROLL FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
78 HARVARD AVE, STAMFORD, CT 06902-5548
(203) 202-7654
Mailing address
78 HARVARD AVE, STAMFORD, CT 06902-5548
(203) 202-7654

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5614
CT

Other

Enumeration date
02/14/2021
Last updated
02/14/2021
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