Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 000983 | CT |
NPI | 1205892049 |
---|---|
Provider Name | Roberta M Solimene |
First Address | Bethany, CT 06524-3166 |
Second Address | New Haven, CT 06515-1401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 08/07/2007 |