| NPI | 1558974303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MARIE SOJA Occupational Therapist 860-306-6834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification |
| Enumeration Date | 2020-08-30 |
| Last Update Date | 2020-08-30 |