Individual
SAMANTHA DESMOINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 ABRAHMS BLVD, WEST HARTFORD, CT 06117-1508
(860) 523-3860
Mailing address
1 ABRAHMS BLVD, WEST HARTFORD, CT 06117-1508
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004357
CT
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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