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Melissa A Wiggins, OTR/L

Occupational Therapist in Waterford, CT. Individual provider (NPI-1).

NPI number1871069278
StatusActive
Last updated in NPPESOct 23, 2018

Details

NPI
1871069278
Entity type
Individual (NPI-1)
Name
Melissa A Wiggins
Credential
OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Oct 23, 2018
Last updated
Oct 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist5045CTYes

Practice location

77 Vivian St
Waterford, CT 06385-2339

Phone 860-389-5402

Mailing address

77 Vivian St
Waterford, CT 06385-2339

Phone 860-389-5402

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