Individual
SUSAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1300 POST RD, SUITE 204, FAIRFIELD, CT 06824-6038
(203) 255-3669
(203) 255-1173
Mailing address
203 BROAD ST, UNIT C2, MILFORD, CT 06460-4751
(203) 876-2000
(203) 876-1545
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
001578
CT
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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