Individual
SAMANTHA ROSE ELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 PALMERS HILL RD, STAMFORD, CT 06902-2134
(203) 204-8449
Mailing address
129 BROAD ST APT 2E, MILFORD, CT 06460-4777
(914) 506-0753
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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