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1225163892
SUSAN SMITH
FAIRFIELD, CT
NPI
1225163892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: CT 001578)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
-- SUSAN SMITH OTR
1300 POST RD SUITE 204
FAIRFIELD, CT 06824-6038
Phone number: 203-255-3669
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Mailing Address
-- SUSAN SMITH OTR
203 BROAD ST UNIT C2
MILFORD, CT 06460-4751
Phone number: 203-876-2000
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