Stephanie Mary Kasulke
Occupational Therapist Occupational Therapist - Physical Rehabilitation
36 Firetown Rd Governor's House Nursing Home
Simsbury
, Connecticut 06070-1965
Stephanie Mary Kasulke
Occupational Therapist Occupational Therapist - Physical Rehabilitation
36 Firetown Rd Governor's House Nursing Home
Simsbury
, Connecticut 06070-1965
(860) 658-1018
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Stephanie Mary Kasulke
- 36 Firetown Rd Governor's House Nursing Home
- Simsbury, CT
- Zip : 06070-1965
- Phone : (860) 658-1018
Second Address
- Stephanie Mary Kasulke
- 36 Firetown Rd Governor's House Nursing Home
- Simsbury, CT
- Zip : 06070-1965
- Phone : (860) 658-1018
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 018673-1 | NY |
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 004413 | CT |
National Provider Identifier
| NPI | 1124427406 |
|---|---|
| Provider Name | Stephanie Mary Kasulke |
| First Address | Simsbury, CT 06070-1965 |
| Second Address | Simsbury, CT 06070-1965 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2014 |
| Last Update Date | 24/06/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.