Individual
MEAGHAN R MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 EMERSON DR, WINDSOR, CT 06095-3204
(860) 640-6338
Mailing address
11 BALFOUR DR, SPRINGFIELD, MA 01118-1138
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1238
CT
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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