Individual
MS. NICOLE ALLISON SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4 HAZEL AVE, NAUGATUCK, CT 06770-4706
(203) 723-1456
Mailing address
105 WEDGEWOOD DR, APARTMENT 1, WATERBURY, CT 06705-3668
(203) 527-7088
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003412
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003412
CT STATE LICENSE
CT
Enumeration date
12/27/2011
Last updated
12/27/2011
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