Individual
MISS JENNIFER HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
186 N MOODUS RD, MOODUS, CT 06469-1149
(860) 614-5161
Mailing address
186 N MOODUS RD, MOODUS, CT 06469-1149
(860) 635-6010
(860) 632-3218
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001073
CT
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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