Active NPIIndividual provider

Mrs. Jennifer L Blaze, OTR

Occupational Therapist in Naugatuck, Connecticut

NPI Number1184749152
Practice location
4 Hazel Ave, Naugatuck, CT 06770-4706
Fax
—
Last updated
July 8, 2007

Jennifer Lynn Blaze is an Occupational Therapist based in Naugatuck, CT. Jennifer Lynn Blaze practices in Naugatuck, CT and has the professional credentials of OTR. The NPI Number for Jennifer Lynn Blaze is 1184749152 and holds a License No. 001771 (CT). The current practice location address for Jennifer Lynn Blaze is 4 Hazel Ave, Naugatuck, CT 06770-4706 and can be reached out via phone at 203-720-3411.

Provider Profile Details

NPI Number
1184749152
Provider Name
Jennifer Lynn Blaze
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
4 Hazel Ave, Naugatuck, CT 06770-4706
Phone Number
203-720-3411
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
March 20, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Hazel Ave
Naugatuck, CT 06770-4706
Zip
06770-4706
Phone Number
203-720-3411
Naugatuck, CT 06770Get directions →

Provider Business Mailing Address Details

Address
47 Dunbar Ln
Hamden, CT 06514-1936
City
Hamden
State
CT
Zip
06514-1936

License Information

License Number
001771
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 Mrs. Jennifer L Blaze, OTR?

The NPI number of Mrs. Jennifer L Blaze, OTR is 1184749152. It was assigned on March 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jennifer L Blaze, OTR?

Mrs. Jennifer L Blaze, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in CT under license number 001771.

Where does Mrs. Jennifer L Blaze, OTR practice?

The practice location is 4 Hazel Ave, Naugatuck, CT 06770-4706. The office can be reached at 203-720-3411 (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 1184749152 directly on the NPPES registry website.

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