Individual
ALEXIA EDEN LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD-L
Contact information
Practice address
71 BLAKESLEE RD, WALLINGFORD, CT 06492-5244
(413) 222-4917
Mailing address
71 BLAKESLEE RD, WALLINGFORD, CT 06492-5244
(413) 222-4917
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
001951
CT
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
03/04/2025
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