Individual
MISS SUSAN MARA LATTANZI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
39 PALMER RD, BRANFORD, CT 06405-3620
(203) 932-5711
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001079
CT
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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