Individual
KATY DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
225 HOPMEADOW ST, SUITE 500, WEATOGUE, CT 06089-9782
(860) 777-5241
Mailing address
225 HOPMEADOW ST, SUITE 500, WEATOGUE, CT 06089-9782
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
002760
CT
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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