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Individual

JORDYN STAVESKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14 CLUB RD, WINDHAM, CT 06280-1000
(860) 456-1107
Mailing address
369 ROUTE 197, WOODSTOCK, CT 06281-1642
(860) 933-4866

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6234
CT

Other

Enumeration date
07/07/2023
Last updated
07/07/2023
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