Individual
MS. LAUREN ANNE DESSEREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
PEQOUT HEALTH CENTER, 52 HAZELNUT HILL ROAD, GROTON, CT 06340
(260) 446-8265
Mailing address
15 TOWNWOODS RD, IVORYTON, CT 06442-1270
(914) 450-2710
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
016124
NY
225X00000X
Occupational Therapist
01676
RI
225X00000X
Occupational Therapist
Primary
4730
CT
Other
Enumeration date
04/08/2010
Last updated
08/21/2020
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