Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 1527 | CT |
NPI | 1316205941 |
---|---|
Provider Name | Ms. Vina Viola Demasi |
First Address | Naugatuck, CT 06770-4706 |
Second Address | Naugatuck, CT 06770-4706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2012 |
Last Update Date | 02/05/2012 |