Individual
KAITLYN MARIE ST.ONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 ELLINGTON RD, SOUTH WINDSOR, CT 06074-2707
(860) 462-6440
Mailing address
80 DEREK DR, TOLLAND, CT 06084-2629
(860) 462-6440
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001732
CT
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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