Individual
MRS. ELIZABETH ANNE IBEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTRL
Contact information
Practice address
22 SOUTH ST, VERNON, CT 06066-4553
(860) 375-7315
Mailing address
58 GIDDINGS AVE, WINDSOR, CT 06095-3702
(860) 687-1459
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002866
CT
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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