Individual
TASHA PLOURDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
26 UNION ST, TERRYVILLE, CT 06786-5219
(860) 329-7611
Mailing address
26 UNION ST, TERRYVILLE, CT 06786-5219
(860) 329-7611
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000594
CT
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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