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1598040024
BRIAN WHEELER
SHELTON, CT
NPI
1598040024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CT 001145)
Enumeration Date
2011-10-16
Last Update Date
2011-10-16
Business Address
-- BRIAN WHEELER COTA/L
45 MALTBY ST
SHELTON, CT 06484-3328
Phone number: 203-924-6174
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Mailing Address
-- BRIAN WHEELER COTA/L
75 EAGLE VIEW RD
SOUTHBURY, CT 06488-4696
Phone number: 203-706-0135
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