Individual
SHIRLEY ANN RAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
6 LOGEE RD, THOMPSON, CT 06277-2509
(508) 579-4350
Mailing address
6 LOGEE RD, PO BOX 351, THOMPSON, CT 06277-2509
(508) 579-4350
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
001146
CT
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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