Individual
MARY ELIZABETH WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 DURHAM RD, MADISON, CT 06443-1858
(203) 751-7182
Mailing address
2 SHORT BEACH RD UNIT 11, EAST HAVEN, CT 06512-3562
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1425
CT
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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