Individual
MS. DANIELLE MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
350 CENTER ROCK GRN STE 10, OXFORD, CT 06478-3170
(203) 828-6790
Mailing address
150 JACKS HILL RD, OXFORD, CT 06478-1133
(203) 233-6478
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
48.005153
CT
Other
Enumeration date
08/12/2019
Last updated
11/09/2019
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