Individual
MRS. MARY LYONS SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CPRP
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516
(203) 932-5711
(203) 937-4707
Mailing address
25 HARDING AVE, BRANFORD, CT 06405
(203) 483-6999
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001287
CT
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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