Individual
MRS. MELISSA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 TOMPKINS ST, WATERBURY, CT 06708-1417
(203) 419-0381
(203) 419-0389
Mailing address
13 WINDSOR PL, NAUGATUCK, CT 06770-5305
(203) 723-5035
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002466
CT
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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