Individual
OWEN STANFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 HILLTOP RD, MYSTIC, CT 06355-2019
(860) 800-4222
Mailing address
75 HILLTOP RD, MYSTIC, CT 06355-2019
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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