NPI 1144886425

Annaliza Gonzales Lewerk

Practitioner Occupational Therapy Assistant Mystic, CT

Practice location

Address: 44 Maritime Dr, Mystic, CT 06355-1958
Phone: (860) 572-4241

Registered specialties (3)

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 0001108 (CT)

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Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence O001108 (CT)

Environmental Modification Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224ZE0001X Licence O001108 (CT)

Registry record

NPI: 1144886425
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 May 2019
Record last updated: 13 May 2019

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.