Individual
STEPHANIE MADONNA DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
2900 MAIN ST, SUITE 1 D, STRATFORD, CT 06614-4946
(203) 378-0092
(203) 375-4540
Mailing address
1931 BLACK ROCK TPKE, ATTN: CREDENTIALING, FAIRFIELD, CT 06825-3506
(203) 332-4363
(203) 330-6761
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004343
CT
225XH1200X
Hand Occupational Therapist
4343
CT
Other
Enumeration date
11/10/2014
Last updated
12/20/2017
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