Jennifer Lynn Blaze, OTR
Individual provider Active NPI Occupational Therapist · Naugatuck, CT
NPI 1184749152 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1184749152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 001771 (CT)
- Practice address
- 4 Hazel Ave
Naugatuck, CT 06770-4706 - Phone
- (203) 720-3411
- NPI assigned
- Mar 20, 2007
- 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 |
|---|---|---|---|
| 001771 | CT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 001771 | CT | Yes |
Addresses
Primary practice location
4 Hazel Ave
Naugatuck, CT 06770-4706
Mailing address
47 Dunbar LN
Hamden, CT 06514-1936
Other providers in Naugatuck, CT
- Michele Marie Belval
- Jenny Elizabeth Bess
- Big Y Foods, Inc
- Birth Partners, LLC
- Meghan Blanusa
- Karen Blood
- Amber Borges
- Susanne Branco
- Thomas Stephen Brewer
- Richard Brito
All providers in Naugatuck, 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 Jul 8, 2007. 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.