Individual
OLIVIA LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 MAIN ST, DANBURY, CT 06810-6673
(203) 730-9000
Mailing address
827 ORONOKE RD APT 7-7, WATERBURY, CT 06708-3938
(203) 558-8784
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5936
CT
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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