Individual
MRS. PAULETTE WIELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
180 REGAN RD, VERNON, CT 06066-2824
(860) 871-0385
Mailing address
180 REGAN RD, VERNON, CT 06066-2824
(860) 871-0385
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002959
CT
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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