Individual
MRS. JEANETTE SIMONETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
61 MONETA LN, CHESHIRE, CT 06410-1320
(203) 272-7832
Mailing address
61 MONETA LN, CHESHIRE, CT 06410-1320
(203) 272-7832
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002508
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002508
LICENSE
CT
Enumeration date
03/26/2007
Last updated
07/08/2007
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