Road To Independence
Occupational Therapist, Mental Health in Middletown, CT. Organization (NPI-2).
NPI number1093523912
StatusActive
Last updated in NPPESDec 23, 2024
Details
- NPI
- 1093523912
- Entity type
- Organization (NPI-2)
- Legal business name
- Road To Independence
- Organization subpart
- Yes
- Enumeration date
- Dec 23, 2024
- Certification date
- Dec 23, 2024
- Last updated
- Dec 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XM0800X | Occupational Therapist, Mental Health | – | – | Yes |
Other names
- Road To Indepdence (Doing Business As)
Practice location
769 Newfield St Ste 4Middletown, CT 06457-1846
Phone 203-376-6640
Mailing address
92 Kimberly RdEast Granby, CT 06026-9540
Phone 203-376-6640
Other practice locations
28 School St Ste F2
East Granby, CT 06026-9769
East Granby, CT 06026-9769
Phone 203-376-6640
Authorized official
Lynn A Coalson
Owner
2033766640
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