Individual
ATHENA PETROPOULOS FOREIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
761 MAIN AVE STE 112S, NORWALK, CT 06851-1080
(203) 857-4741
Mailing address
136 PARTRICK AVE, NORWALK, CT 06851-2623
(203) 984-2125
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
286
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286
—
CT
Enumeration date
05/20/2020
Last updated
05/20/2020
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