Individual
MRS. DONNA CHAMBERLAND JEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
400 N MAIN ST, BRISTOL, CT 06010-4923
(860) 584-3400
(560) 589-8686
Mailing address
400 N MAIN ST, BRISTOL, CT 06010-4923
(860) 584-3400
(560) 589-8686
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000041
CT
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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