NPI 1043564008

Jorge L Tellez, COTAL

Practitioner Occupational Therapy Assistant Waterbury, CT

Practice location

Address: 145 Grove St, Waterbury, CT 06710-2202
Phone: (203) 753-7205
Mailing address: 48 Industrial Park Access Rd, Middlefield, CT 06455-1263

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 001138 (CT)

Other Occupational Therapy Assistant providers in Connecticut →

Registry record

NPI: 1043564008
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Oct 2012
Record last updated: 30 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.