Whalio Doctors

NPI 1417069840

Pamela Barbara Moran, RT

Practitioner Recreation Therapist Newington, CT

Practice location

Address
555 Willard Ave, Newington, CT 06111-2631
Phone
(860) 594-6338
Fax
(860) 667-6842
Mailing address
87 Lakeside Dr, Bristol, CT 06010-7379

Registered specialties

Recreation Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Registry record

NPI
1417069840
Entity type
Individual
Sex (as registered)
Female
NPI issued
31 Aug 2006
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.