Individual
JENNIFER STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 MALTBY ST, SHELTON, CT 06484-3328
(203) 924-4671
Mailing address
45 MALTBY STREET, SHELTON, CT 06484
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4270
CT
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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