Organization
MOZAIC KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIRZA RODA (MANAGER)
(860) 456-1110
Entity
Organization
Contact information
Practice address
13 DEREK RD, STORRS MANSFIELD, CT 06268-2764
(860) 456-1110
Mailing address
13 DEREK RD, STORRS MANSFIELD, CT 06268-2764
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000839
CT
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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