Stephen John Shork, COTA
NPI #1114135787 in Colchester, Connecticut
Provider Information
- NPI Number
- 1114135787
- Entity Type
- Individual
- Name
- Stephen John Shork, COTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- May 18, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 59 HARRINGTON CT
- City
- Colchester
- State
- Connecticut
- ZIP Code
- 06415-1207
- Phone
- (860) 537-2339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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