Organization
THERAPEUTIC ENTERPRISES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NOREEN A WALLACE OTRL (OWNER)
(860) 963-0712
Entity
Organization
Contact information
Practice address
602 ROUTE 169, WOODSTOCK, CT 06281
(860) 963-0712
(860) 963-0712
Mailing address
42 OLD SAWMILL RD, WOODSTOCK, CT 06281-2017
(860) 963-0712
(860) 963-0712
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000442
CT
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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