NPI 1790031730

Diane M Phipps, OTASSISTANT

Practitioner Occupational Therapy Assistant Wolcott, CT

Practice location

Address: 50 Beach Rd, Wolcott, CT 06716-1902
Phone: (860) 879-8066

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 000452 (CT)

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Registry record

NPI: 1790031730
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2012
Record last updated: 27 Jul 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.