Individual
TAJHMA DASHAWN BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 NORTH ST, HAMDEN, CT 06514-4920
(203) 676-9114
Mailing address
41 NORTH ST, HAMDEN, CT 06514-4920
(203) 676-9114
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003228
CT
Other
Enumeration date
03/21/2018
Last updated
12/02/2021
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