Active NPIIndividual providerSole proprietor

Ms. Blair R Church, OTR/L

Occupational Therapist in Stamford, Connecticut

NPI Number1023621224
Practice location
14 2ND St, Stamford, CT 06905-5151
Fax
—
Last updated
August 26, 2020

Blair Renee Church is an Occupational Therapist based in Stamford, CT. Blair Renee Church practices in Stamford, CT and has the professional credentials of OTR/L. The NPI Number for Blair Renee Church is 1023621224 and holds a License No. 5492 (CT). The current practice location address for Blair Renee Church is 14 2ND St, Stamford, CT 06905-5151 and can be reached out via phone at 203-883-1510.

Provider Profile Details

NPI Number
1023621224
Provider Name
Blair Renee Church
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
14 2ND St, Stamford, CT 06905-5151
Phone Number
203-883-1510
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 26, 2020
Last Update Date
August 26, 2020
Certification Date
August 26, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 2ND St
Stamford, CT 06905-5151
Zip
06905-5151
Phone Number
203-883-1510
Stamford, CT 06905Get directions →

Provider Business Mailing Address Details

Address
415 Pequot Ave
New London, CT 06320-4407
City
New London
State
CT
Zip
06320-4407
Phone Number
860-608-5498

License Information

License Number
5492
License State
CT
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Blair R Church, OTR/L?

The NPI number of Ms. Blair R Church, OTR/L is 1023621224. It was assigned on August 26, 2020 and is currently active in the NPPES registry.

What is the specialty of Ms. Blair R Church, OTR/L?

Ms. Blair R Church, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in CT under license number 5492.

Where does Ms. Blair R Church, OTR/L practice?

The practice location is 14 2ND St, Stamford, CT 06905-5151. The office can be reached at 203-883-1510 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023621224 directly on the NPPES registry website.

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