STEPHEN JOHN SHORK

COLCHESTER, CT
NPI1114135787
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CT  000919)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
-- STEPHEN JOHN SHORK COTA
59 HARRINGTON CT
COLCHESTER, CT 06415-1207
Phone number: 860-537-2339
Mailing Address
-- STEPHEN JOHN SHORK COTA
20-42 PHILLIPS RD
LISBON, CT 06351-7000
Phone number: 860-376-5424
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