Individual
MS. TRACI CANAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, ATRIC
Contact information
Practice address
26 RIVER RD, BRANFORD, CT 06405-5041
(203) 988-5191
Mailing address
26 RIVER RD, BRANFORD, CT 06405-5041
(203) 988-5191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001614
CT
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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