Individual
SARAH ELIZABETH MEDLYN-CHUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
33 WOLF DEN DR, POMFRET CENTER, CT 06259-2117
(860) 928-5597
Mailing address
33 WOLF DEN DR, POMFRET CENTER, CT 06259-2117
(860) 928-5597
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000420
CT
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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