Individual
MS. ALICIA P JEPPESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T
Contact information
Practice address
9 SPARROW BUSH LN, GUILFORD, CT 06437-2944
(203) 453-8832
Mailing address
308 SAVIN AVE, WEST HAVEN, CT 06516-5805
(203) 932-6411
(203) 932-6304
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000496
CT
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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