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Individual

MRS. HEATHER DUPREE VINES-DUBOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
698 WEST AVE, NORWALK, CT 06850-3302
(203) 852-3400
(203) 852-3418
Mailing address
543 LAKESIDE DR, BRIDGEPORT, CT 06606-1949
(203) 979-0010

Taxonomy

Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
002169
CT

Other

Enumeration date
03/30/2007
Last updated
12/11/2012
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