Individual
KASEY JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
28 STEPHEN DR, MERIDEN, CT 06450-7335
(203) 605-2857
Mailing address
28 STEPHEN DR, MERIDEN, CT 06450-7335
(203) 605-2857
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5974
CT
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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