Individual
JORDAN NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 COURT ST STE 3, CROMWELL, CT 06416-1273
(860) 613-9930
Mailing address
400 BLAKE ST, NEW HAVEN, CT 06515-4410
(203) 501-9151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
506395
CT
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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