Individual
STEPHANI SHIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1261 S MAIN ST, PLANTSVILLE, CT 06479-1750
(860) 628-3020
Mailing address
11 TROTWOOD DR, WEST HARTFORD, CT 06117-1644
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
003405
CT
Other
Enumeration date
06/06/2008
Last updated
06/24/2014
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