NPI 1174644330

Patricia L Jacques, OTAL

Practitioner Occupational Therapy Assistant Vernon, CT

Practice location

Address: 22 South St, Vernon, CT 06066-4553
Phone: (860) 875-0771
Mailing address: 405 Jones Hollow Rd, Marlborough, CT 06447-1038

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 000726 (CT)

Other Occupational Therapy Assistant providers in Connecticut →

Registry record

NPI: 1174644330
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2007
Record last updated: 8 Jul 2007

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.