ANNALIZA GONZALES LEWERK

MYSTIC, CT
NPI1144886425
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CT  0001108)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: CT  O001108)
224ZE0001X Occupational Therapy Assistant, Environmental Modification
(Licence: CT  O001108)
Enumeration Date2019-05-13
Last Update Date2019-05-13
Business Address
ANNALIZA GONZALES LEWERK
44 MARITIME DR
MYSTIC, CT 06355-1958
Phone number: 860-572-4241
Mailing Address
ANNALIZA GONZALES LEWERK
44 MARITIME DR
MYSTIC, CT 06355-1958
Phone number: