Organization
HAVEN HEALTH CENTER OF FARMINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SUSAN NICOLL CHORONZY OTR (OCCUPATIONAL THERAPIST)
(860) 677-1671
Entity
Organization
Contact information
Practice address
16-20 FOREST GLEN CIR, MIDDLETOWN, CT 06457-6662
(203) 668-0695
Mailing address
16-20 FOREST GLEN CIR, MIDDLETOWN, CT 06457-6662
(203) 668-0695
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002780
CT
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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