Individual
MISS MAUREEN ANNE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
710 LONG RIDGE RD, STAMFORD, CT 06902-1226
(203) 323-4026
Mailing address
11 CHIPMUNK TER, BETHEL, CT 06801-1429
(860) 573-1742
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000884
CT
Other
Enumeration date
05/22/2007
Last updated
12/02/2014
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