Individual
STACEY GAUDENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 KENT RD, NEW MILFORD, CT 06776-3485
(860) 350-3330
Mailing address
158 ASPETUCK VLG, NEW MILFORD, CT 06776-5624
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003057
LICENSE #
CT
Enumeration date
08/20/2006
Last updated
02/06/2024
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