Individual
JASMINE TAYLOR-CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA, CLT
Contact information
Practice address
53 MAPLE AVE, STAMFORD, CT 06902-4006
(561) 479-8084
Mailing address
53 MAPLE AVE, STAMFORD, CT 06902-4006
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009383
NY
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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