Individual
HOLLY AMBER SURIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
121 CODFISH HILL RD, BETHEL, CT 06801
(475) 279-0347
Mailing address
121 CODFISH HILL RD, BETHEL, CT 06801-3203
(475) 279-0347
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004075
CT
225X00000X
Occupational Therapist
012799
NY
Other
Enumeration date
10/17/2006
Last updated
08/15/2018
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