Individual
LISA DAUPHINAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 WINDSOR AVE, PLAINFIELD, CT 06374-1036
(860) 564-4081
Mailing address
23 WAUREGAN RD, DANIELSON, CT 06239-3714
(860) 774-8129
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00846
CT
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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