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Individual

DR. KATHLEEN ANN SUBASIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
19 STOCKBRIDGE DR, AVON, CT 06001
(860) 829-7870
Mailing address
19 STOCKBRIDGE DR, AVON, CT 06001-4415
(860) 829-7870

Taxonomy

Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
Primary
04200
MD

Other

Enumeration date
01/11/2018
Last updated
08/26/2019
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