Individual
PETER DASILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS OTR/L
Contact information
Practice address
195 EASTERN BLVD, GLASTONBURY, CT 06033-4312
(860) 527-7161
Mailing address
195 EASTERN BLVD STE 200, GLASTONBURY, CT 06033-4353
(401) 741-0171
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4819
CT
225XH1200X
Hand Occupational Therapist
4819
CT
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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