Individual
MS. GISELA I MATISONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
451 N HIGH ST, EAST HAVEN, CT 06512-1555
(203) 466-6850
Mailing address
90 ANNAWON AVE, WEST HAVEN, CT 06516-7009
(203) 931-1495
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000987
CT
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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