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Individual

MRS. HEATHER EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
240 COLONY ST, FAIRFIELD, CT 06824-5205
(203) 292-8452
(203) 292-8456
Mailing address
240 COLONY ST, FAIRFIELD, CT 06824-5205
(203) 292-8452
(203) 292-8456

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003071
CT

Other

Enumeration date
12/01/2006
Last updated
10/20/2010
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