Individual
FAYE ROSE ERWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1145 POQUONNOCK RD, GROTON, CT 06340-4620
(860) 446-9960
Mailing address
112 HOLLETT ST, SCITUATE, MA 02066-2037
(781) 733-2760
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5688
CT
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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