Individual
CERA SPYROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 WOODLAND DR, SOUTHINGTON, CT 06489-4020
(203) 980-6085
Mailing address
73 WOODLAND DR, SOUTHINGTON, CT 06489-4020
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001142
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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