Individual
DANIELLE MOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 MASONIC AVE, WALLINGFORD, CT 06492-3048
(203) 907-5096
Mailing address
960 OLD ROCK HILL RD, WALLINGFORD, CT 06492-3964
(203) 907-5096
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2158
CT
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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