Individual
MARY PATRICIA SMYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BURWELL RD, NEW HARTFORD, CT 06057-4112
(860) 379-7133
Mailing address
101 BURWELL RD, NEW HARTFORD, CT 06057-4112
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001590
CT
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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