Individual
MICHELLE MARIE HAUDEGAND-GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
160 SIMSBURY RD, WEST HARTFORD, CT 06117-1469
(860) 523-3808
Mailing address
551 FOSTER ST, SOUTH WINDSOR, CT 06074-2936
(860) 812-5653
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001925
CT
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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