Individual
MRS. JACQUELINE FOSTER HAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 HAMILTON HEIGHTS DR, WEST HARTFORD, CT 06119-6320
(860) 231-9375
Mailing address
29 BRIAR LN, BLOOMFIELD, CT 06002-1364
(860) 490-4042
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0891
CT
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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