Individual
ASHLIE NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 MAIN ST, WINDSOR LOCKS, CT 06096-2307
(860) 623-4315
Mailing address
103 GRANVILLE RD, NORTH GRANBY, CT 06060-1306
(860) 716-1807
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6432
CT
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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