Individual
STEPHANIE ANN TANTIMONICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
78 HARVARD AVE, STAMFORD, CT 06902-5548
(203) 422-2193
Mailing address
50 CARDINAL CIR, TRUMBULL, CT 06611-3217
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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