SHANNON CARLOS

GROTON, CT
NPI1942881735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CT  1710)
Enumeration Date2021-04-14
Last Update Date2021-04-14
Business Address
SHANNON CARLOS COTA
1145 POQUONNOCK RD
GROTON, CT 06340-4698
Phone number: 860-446-9960
Mailing Address
SHANNON CARLOS COTA
62 THAMES HEIGHT LN
GROTON, CT 06340-2856
Phone number: 860-237-0836