Jennifer Truong
Individual provider Active NPI Occupational Therapist · East Granby, CT
NPI 1013782671 · NPPES record last updated Nov 22, 2023
Key facts
- NPI
- 1013782671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 005496 (CT)
- Practice address
- 43 Ridge Blvd
East Granby, CT 06026-9302 - Phone
- (503) 840-8045
- NPI assigned
- Nov 22, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005496 | CT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 005496 | CT | Yes |
Addresses
Primary practice location
43 Ridge Blvd
East Granby, CT 06026-9302
Mailing address
555 Willard Ave
Hartford, CT 06111-2631
Phone (860) 666-6951
Other providers in East Granby, CT
- Tatum Strong
- Lance Strzegowski
- Coleen Sutherland
- Katarzyna Swistak
- Katherine Jane Szymaszek
- Amber C Walker
- Maryann Webster
- Jennifer Williams
- Samantha Yekel
- Francine D York
All providers in East Granby, CT · Occupational Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.