Individual
MISS MABEL IRENE RUEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
53 COURTLAND AVE, STAMFORD, CT 06902-3401
(203) 321-7032
Mailing address
85 COURTLAND AVE, APT.#9, STAMFORD, CT 06902-3477
(203) 321-7032
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003682
CT
Other
Enumeration date
03/04/2017
Last updated
03/04/2017
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