Individual
NATHANIEL GALE ACORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
64 DANBURY RD, WILTON, CT 06897
(765) 252-8168
Mailing address
64 DANBURY RD, WILTON, CT 06897
(765) 252-8168
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007458
MI
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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