Individual
MIKA DERYNIOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
209 CHERRY ST, MILFORD, CT 06460-3501
(203) 874-5437
Mailing address
209 CHERRY ST, MILFORD, CT 06460-3501
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
5102
CT
Other
Enumeration date
03/03/2021
Last updated
06/14/2022
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