Individual
MR. WILLIAM D. FAHY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
225 BOSTON POST RD, ORANGE, CT 06477-3208
(203) 795-0835
(203) 795-0836
Mailing address
225 BOSTON POST RD, ORANGE, CT 06477-3208
(203) 795-0835
(203) 795-0836
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000560
CT
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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