Individual
HEATHER ANNE TALLEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
142 COOPER AVE, WEATOGUE, CT 06089-7957
(860) 317-0436
Mailing address
25 MOUNTAIN VIEW DR, WEATOGUE, CT 06089-9721
(860) 985-8885
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002711
CT
Other
Enumeration date
01/24/2023
Last updated
02/10/2023
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