Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 002403 | CT |
N | 225XH1200X | Occupational Therapist - Hand | 2403 | CT |
NPI | 1053381426 |
---|---|
Provider Name | Kristen D. Heon |
First Address | Hamden, CT 06518-3209 |
Second Address | Milford, CT 06460-3226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 09/12/2020 |