Individual
LAURA GREENBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
72 SALMON BROOK DR, GLASTONBURY, CT 06033
(860) 633-5244
Mailing address
101 EAST STATE ST, KENNET SQUARE, PA 19348
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004203
CT
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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