Individual
STEPHANIE KING PITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 GREAT POND RD, SIMSBURY, CT 06070-1980
(860) 658-3700
Mailing address
21 WYNDING HILLS RD, EAST GRANBY, CT 06026-9631
(860) 380-7781
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1180
CT
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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