Individual
EDWARD CEDRIC KAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3000
(203) 336-7368
Mailing address
166 HOLMES ST, STRATFORD, CT 06615-6515
(203) 384-4554
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002016
CT
Other
Enumeration date
01/12/2007
Last updated
04/13/2009
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