Individual
BEENA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
84 AUTUMN RIDGE RD, TRUMBULL, CT 06611-1256
(203) 452-0381
Mailing address
84 AUTUMN RIDGE RD, TRUMBULL, CT 06611-1256
(203) 452-0381
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001635
CT
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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