Individual
SHARON ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA-L
Contact information
Practice address
97 PRESTON RD, GRISWOLD, CT 06351-2516
(860) 376-4438
Mailing address
430 MANSFIELD RD, ASHFORD, CT 06278-1416
(860) 208-2265
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000443
CT
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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