Individual
ALLISON ROSE WEISENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 TOWN COLONY DR, MIDDLETOWN, CT 06457-5901
(203) 530-3841
Mailing address
116 TOWN COLONY DR, MIDDLETOWN, CT 06457-5901
(203) 530-3841
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
Primary
001954
CT
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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