Zoada Sahn

Individual provider Active NPI Occupational Therapy Assistant · Waterbury, CT

NPI 1093314940 · NPPES record last updated Oct 21, 2020

Key facts

NPI
1093314940
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
001481 (CT)
Practice address
140 Fulkerson Dr Apt 12E
Waterbury, CT 06708-1441
Phone
(203) 725-6173
NPI assigned
Oct 21, 2020
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

LicenseStateTypeSpecialty
001481CTMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 001481 CT Yes

Addresses

Primary practice location

140 Fulkerson Dr Apt 12E
Waterbury, CT 06708-1441

Mailing address

140 Fulkerson Dr Apt 12E
Waterbury, CT 06708-1441
Phone (203) 725-6173

Other providers in Waterbury, CT

All providers in Waterbury, CT · Occupational Therapy Assistant in Connecticut

Sources for this page

Verify at the official NPI Registry.