Individual
COLLEEN1 VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 NEW HAVEN RD, DURHAM, CT 06422-2412
(860) 349-1041
Mailing address
21 N ELM ST, WALLINGFORD, CT 06492-3897
(845) 417-8276
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003333
CT
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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