Individual
MS. KELLY VANDER MASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
465 SILAS DEANE HWY, WETHERSFIELD, CT 06109-2134
(860) 721-9999
Mailing address
335 CABIN RD, COLCHESTER, CT 06415-1522
(978) 891-6264
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004520
CT
225X00000X
Occupational Therapist
11812
MA
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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