Individual
ELISE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
64 DANBURY RD, WILTON, CT 06897-4429
(203) 834-3000
Mailing address
190 CYPRESS GROVE CT, NEW ORLEANS, LA 70131-8917
(504) 920-1312
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA200144
LA
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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