Jennifer Decoteau
Occupational Therapist in Avon, CT. Individual provider (NPI-1).
NPI number1588065601
StatusActive
Last updated in NPPESAug 29, 2018
Details
- NPI
- 1588065601
- Entity type
- Individual (NPI-1)
- Name
- Miss Jennifer Decoteau
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2014
- Last updated
- Aug 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 003907 | CT | Yes |
Practice location
101 Bickford ExtAvon, CT 06001
Phone 860-269-5078
Mailing address
31 Crystal DrEast Granby, CT 06026-8705
Phone 203-520-4418
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All 28 Occupational Therapist providers in Avon · All 865 providers in Avon
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