Individual
MARISSA ANTONIA GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
15 RESEARCH DR STE 1, WOODBRIDGE, CT 06525-2356
(203) 387-1401
Mailing address
15 RESEARCH DR STE 1, WOODBRIDGE, CT 06525-2356
(203) 387-1401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5696
CT
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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