Individual
BRIAN WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
45 MALTBY ST, SHELTON, CT 06484-3328
(203) 924-6174
Mailing address
75 EAGLE VIEW RD, SOUTHBURY, CT 06488-4696
(203) 706-0135
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001145
CT
Other
Enumeration date
10/16/2011
Last updated
10/16/2011
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