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Individual

EDIE HOCHBERG HOFSTATTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.T.R.

Contact information

Practice address
90 GREENWOODS RD W, NORFOLK, CT 06058-1249
(860) 542-5459
Mailing address
90 GREENWOODS RD W, NORFOLK, CT 06058-1249

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
001142-1
NY
225X00000X
Occupational Therapist
1283
MA
225X00000X
Occupational Therapist
Primary
268
CT

Other

Enumeration date
03/03/2015
Last updated
03/03/2015
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