Individual
MRS. DANIELLE MARIE LYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 WALLS DR STE 204, FAIRFIELD, CT 06824-5163
(203) 255-3669
Mailing address
55 WALLS DR STE 204, FAIRFIELD, CT 06824-5163
(203) 255-3669
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
003579
CT
Other
Enumeration date
10/17/2021
Last updated
10/17/2021
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