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LISA DAUPHINAIS

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1215054150

Individual Registrant:
 LISA  DAUPHINAIS 
Gender: F
Sole Proprietor

Location and contact information for practice:
16 WINDSOR AVE  PLAINFIELD, CT 06374-1036 US
Tel: 860-564-4081  Fax: --

Contact information for business:
23 WAUREGAN RD  DANIELSON, CT 06239-3714 US
Tel: 860-774-8129  Fax: --

Registration Information:
NPI: 1215054150
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
CT00846

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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