Individual
MRS. NICOLE M MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1449 OLD WATERBURY RD, ONE RESERVOIR OFFICE PARK, STE 104, SOUTHBURY, CT 06488-3926
(203) 262-9909
(203) 262-9911
Mailing address
1449 OLD WATERBURY RD, ONE RESERVOIR OFFICE PARK, STE 104, SOUTHBURY, CT 06488-3926
(203) 262-9909
(203) 262-9911
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
003649
CT
Other
Enumeration date
05/18/2010
Last updated
02/06/2017
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