Individual
MELISSA M WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
32 EUCLID AVE, STAMFORD, CT 06902-6231
(203) 504-8984
Mailing address
32 EUCLID AVE, STAMFORD, CT 06902-6231
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
011577-1
NY
251300000X
Local Education Agency (LEA)
Primary
011577-1
NY
Other
Enumeration date
07/16/2010
Last updated
11/21/2011
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