Individual
CAROLYN S. BEALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
35 MARC DR, WALLINGFORD, CT 06492-5708
(203) 741-2006
Mailing address
53 PEARL ST, MERIDEN, CT 06450-4506
(203) 440-4267
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001192
CT
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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