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Tara Elizabeth Connolly

Developmental Therapist in Milford, MA. Individual provider (NPI-1).

NPI number1962017889
StatusActive
Last updated in NPPESSep 9, 2020

Details

NPI
1962017889
Entity type
Individual (NPI-1)
Name
Tara Elizabeth Connolly
Sex
Female
Sole proprietor
No
Enumeration date
Sep 9, 2020
Certification date
Sep 9, 2020
Last updated
Sep 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

321 Fortune Blvd
Milford, MA 01757-1750

Phone 508-478-0207 · Fax 508-634-6984

Mailing address

321 Fortune Blvd
Milford, MA 01757-1750

Phone 508-478-0207 · Fax 508-634-6984

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