Individual
MS. JENNIFER CLAIRE HIRSCHBERG-WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
900 MAIN ST, OAKVILLE, CT 06779-1999
(860) 945-3012
(860) 945-9854
Mailing address
PO BOX 425, WATERTOWN, CT 06795-0425
(860) 945-3012
(860) 945-9854
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003554
CT
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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