Individual
JEANNE DU RIVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
88 EAST ST, PLAINVILLE, CT 06062-2342
(860) 793-7249
(860) 793-4468
Mailing address
57 ARNOLDALE RD, WEST HARTFORD, CT 06119-1717
(860) 276-7387
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00351
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00351
OCCUPATIONAL THERAPY
CT
Enumeration date
03/27/2009
Last updated
03/27/2009
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