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1003416835
COLLEEN HERMANN
SHELTON, CT
NPI
1003416835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CT 001434)
Enumeration Date
2020-10-30
Last Update Date
2020-10-30
Business Address
COLLEEN HERMANN COTA-L
584 LONG HILL AVE
SHELTON, CT 06484-4810
Phone number: 203-944-8252
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Mailing Address
COLLEEN HERMANN COTA-L
63 NEW ST APT 1
NAUGATUCK, CT 06770-2741
Phone number: 203-521-1552
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