Active NPIIndividual provider

Ms. Pamela B Moran, RT

Recreation Therapist in Newington, Connecticut

NPI Number1417069840
Practice location
555 Willard Ave, Newington, CT 06111-2631
Fax
860-667-6842
Last updated
July 8, 2007

Pamela Barbara Moran is a Recreation Therapist based in Newington, CT. Pamela Barbara Moran practices in Newington, CT and has the professional credentials of RT. The NPI Number for Pamela Barbara Moran is 1417069840. The current practice location address for Pamela Barbara Moran is 555 Willard Ave, Newington, CT 06111-2631 and can be reached out via phone at 860-594-6338 and via fax at 860-667-6842.

Provider Profile Details

NPI Number
1417069840
Provider Name
Pamela Barbara Moran
Credential
RT
Provider Entity Type
Individual
Gender
Female
Address
555 Willard Ave, Newington, CT 06111-2631
Phone Number
860-594-6338
Fax Number
860-667-6842
Primary Taxonomy
Recreation Therapist · 225800000X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
555 Willard Ave
Newington, CT 06111-2631
Zip
06111-2631
Phone Number
860-594-6338
Fax Number
860-667-6842
Newington, CT 06111Get directions →

Provider Business Mailing Address Details

Address
87 Lakeside Dr
Bristol, CT 06010-7379
City
Bristol
State
CT
Zip
06010-7379
Phone Number
860-594-6338
Fax Number
860-667-6842

License Information

Taxonomy
Recreation Therapist · 225800000X · 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. Pamela B Moran, RT?

The NPI number of Ms. Pamela B Moran, RT is 1417069840. It was assigned on August 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Pamela B Moran, RT?

Ms. Pamela B Moran, RT is registered under the primary taxonomy Recreation Therapist (code 225800000X).

Where does Ms. Pamela B Moran, RT practice?

The practice location is 555 Willard Ave, Newington, CT 06111-2631. The office can be reached at 860-594-6338 (phone) or 860-667-6842 (fax).

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 1417069840 directly on the NPPES registry website.

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