Individual
ANNE STAUDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
78 HARVARD AVE, STAMFORD, CT 06902-5548
(203) 422-2193
Mailing address
6 OTTER TRL, WESTPORT, CT 06880-4919
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1841
CT
225X00000X
Occupational Therapist
Primary
6060
CT
Other
Enumeration date
01/04/2018
Last updated
10/12/2022
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