Individual
MISS JENNIFER DECOTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BICKFORD EXT, AVON, CT 06001
(860) 269-5078
Mailing address
31 CRYSTAL DR, EAST GRANBY, CT 06026-8705
(203) 520-4418
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003907
CT
Other
Enumeration date
09/08/2014
Last updated
08/29/2018
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