Individual
MS. KELLY ECSEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 TOMPKINS ST, WATERBURY, CT 06708-1417
(203) 419-0381
(203) 419-0389
Mailing address
254 TRIANGLE BLVD, MIDDLEBURY, CT 06762-3331
(203) 598-7546
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000643
CT
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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