Jennifer Anderson, OTRL
Occupational Therapist in Mystic, Connecticut
1760508477- Practice location
- 475 High Street, Mystic, CT 06355-1707
- Phone
- 860-536-6070
- Fax
- 860-536-9480
- Last updated
- July 13, 2022
Jennifer Anderson is an Occupational Therapist based in Mystic, CT. Jennifer Anderson practices in Mystic, CT and has the professional credentials of OTRL. The NPI Number for Jennifer Anderson is 1760508477 and holds a License No. ota00338 (RI). The current practice location address for Jennifer Anderson is 475 High Street, Mystic, CT 06355-1707 and can be reached out via phone at 860-536-6070 and via fax at 860-536-9480.
Provider Profile Details
- NPI Number
- 1760508477
- Provider Name
- Jennifer Anderson
- Credential
- OTRL
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 475 High Street, Mystic, CT 06355-1707
- Phone Number
- 860-536-6070
- Fax Number
- 860-536-9480
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- No
- Other Names
- Jennifer Graham, COTA (Former Name)
- Provider Enumeration Date
- March 22, 2007
- Last Update Date
- July 13, 2022
- Certification Date
- July 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 475 High Street
Mystic, CT 06355-1707 - City
- Mystic
- State
- Connecticut
- Zip
- 06355-1707
- Phone Number
- 860-536-6070
- Fax Number
- 860-536-9480
Provider Business Mailing Address Details
- Address
- 475 High Street
Mystic, CT 06355-1707 - City
- Mystic
- State
- CT
- Zip
- 06355-1707
- Phone Number
- 860-536-6070
- Fax Number
- 860-536-9480
License Information
- License Number (1)
- ota00338
- License State (1)
- RI
- Taxonomy (1)
- Occupational Therapy Assistant · 224Z00000X
- License Number (2)
- 005123
- License State (2)
- CT
- Taxonomy (2)
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Occupational Therapists near Mystic, CT
View all Occupational Therapists in Mystic →- Kim M Bucko, OTROccupational Therapist · NPI 1922358266
- Mrs. Melissa E Avery, MSOT, OTR/LOccupational Therapist · NPI 1447556725
- Tina M Aspromonte-Weiss, OTR/LOccupational Therapist · NPI 1811245939
- Mr. Michael J Alger, MS, LPCCounselor, Professional · NPI 1740550987
- Child And Family Agency Of Southeastern Connecticut INC.Clinic/Center · NPI 1477252054
- Child And Family Agency Of Southeastern Connecticut, INC.Clinic/Center · NPI 1306504220
Frequently Asked Questions
What is the NPI number of Jennifer Anderson, OTRL?
The NPI number of Jennifer Anderson, OTRL is 1760508477. It was assigned on March 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Jennifer Anderson, OTRL?
Jennifer Anderson, OTRL is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in RI under license number ota00338.
Where does Jennifer Anderson, OTRL practice?
The practice location is 475 High Street, Mystic, CT 06355-1707. The office can be reached at 860-536-6070 (phone) or 860-536-9480 (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 1760508477 directly on the NPPES registry website.