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Individual

MRS. ROBERTA W GEISSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3018 DIXWELL AVE, 3RD FLOOR, HAMDEN, CT 06518-3508
(203) 288-0090
(203) 407-0558
Mailing address
3018 DIXWELL AVE, 3RD FLOOR, HAMDEN, CT 06518-3508
(203) 288-0090
(203) 407-0558

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00708
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00708
OT LICENSE
CT
Enumeration date
09/28/2006
Last updated
10/06/2010
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