Individual
CAROL ANN GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
196 PARKWAY S, SUITE 201, WATERFORD, CT 06385-1234
(860) 440-0688
(860) 437-0318
Mailing address
196 PARKWAY S, SUITE 201, WATERFORD, CT 06385-1234
(860) 440-0688
(860) 437-0318
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000587
CT
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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