Individual
NICOLE ARLENE NEWHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1 EMILY WAY, WEST HARTFORD, CT 06107-3136
(860) 561-7022
Mailing address
104 BATTLE ST, SOMERS, CT 06071-1629
(860) 324-0637
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001007
CT
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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