Mr. Kenneth W Berdeen II, COTA/L
Occupational Therapy Assistant in Ledyard, Connecticut
1265798524- Practice location
- 220 Haley RD, Ledyard, CT 06339
- Phone
- 401-932-8050
- Fax
- —
- Last updated
- April 11, 2012
Kenneth Warren Berdeen is an Occupational Therapy Assistant based in Ledyard, CT. Kenneth Warren Berdeen practices in Ledyard, CT and has the professional credentials of COTA/L. The NPI Number for Kenneth Warren Berdeen is 1265798524 and holds a License No. 001179 (CT). The current practice location address for Kenneth Warren Berdeen is 220 Haley RD, Ledyard, CT 06339 and can be reached out via phone at 401-932-8050.
Provider Profile Details
- NPI Number
- 1265798524
- Provider Name
- Kenneth Warren Berdeen
- Credential
- COTA/L
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 220 Haley RD, Ledyard, CT 06339
- Phone Number
- 401-932-8050
- Primary Taxonomy
- Occupational Therapy Assistant · 224Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 11, 2012
- Last Update Date
- April 11, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 220 Haley RD
Ledyard, CT 06339 - City
- Ledyard
- State
- Connecticut
- Zip
- 06339
- Phone Number
- 401-932-8050
Provider Business Mailing Address Details
- Address
- 220 Haley RD
Ledyard, CT 06339 - City
- Ledyard
- State
- CT
- Zip
- 06339
- Phone Number
- 401-932-8050
License Information
- License Number
- 001179
- License State
- CT
- Taxonomy
- Occupational Therapy Assistant · 224Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Kenneth W Berdeen II, COTA/L?
The NPI number of Mr. Kenneth W Berdeen II, COTA/L is 1265798524. It was assigned on April 11, 2012 and is currently active in the NPPES registry.
What is the specialty of Mr. Kenneth W Berdeen II, COTA/L?
Mr. Kenneth W Berdeen II, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in CT under license number 001179.
Where does Mr. Kenneth W Berdeen II, COTA/L practice?
The practice location is 220 Haley RD, Ledyard, CT 06339. The office can be reached at 401-932-8050 (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 1265798524 directly on the NPPES registry website.