Individual
MANJILA THAPA-PANTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
91 STRAWBERRY HILL AVE APT 1126, STAMFORD, CT 06902-2743
(203) 276-0469
Mailing address
91 STRAWBERRY HILL AVE APT 1126, STAMFORD, CT 06902-2743
(203) 276-0469
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003342
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003342
STATE LICENSE
CT
Enumeration date
07/04/2016
Last updated
07/04/2016
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