Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 001151 | CT |
NPI | 1003182759 |
---|---|
Provider Name | Kathryn M Bellows |
First Address | Waterbury, CT 06708-3931 |
Second Address | Winsted, CT 06098-1912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2012 |
Last Update Date | 27/03/2012 |