Individual
TERESA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
245 INDIAN RIVER RD, ORANGE, CT 06477-3634
(203) 683-6045
Mailing address
44 BIRCHWOOD RD, SEYMOUR, CT 06483-3806
(203) 927-3380
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001243
CT
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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