Deborah Bergendahl, COTA
Individual provider Active NPI Occupational Therapy Assistant · Rocky Hill, CT
NPI 1285843722 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1285843722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 000974 (CT)
- Practice address
- 60 West St
Rocky Hill, CT 06067-3518 - Phone
- (860) 529-2521
- Fax
- (860) 563-2640
- NPI assigned
- May 22, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 000974 | CT | Yes |
Addresses
Primary practice location
60 West St
Rocky Hill, CT 06067-3518
Mailing address
68 Concord St
East Hartford, CT 06108-2942
Phone (860) 289-2356
Other providers in Rocky Hill, CT
- Shella Beauzil
- Bernadette Bellizzi
- Benchmark Assisted Living LLC
- Jay B Benson
- Joseph Francis Bentivegna
- Laura Janean Berklas
- Filjah Saladar Bernardo
- Christopher James Berube
- Evelyn Constance Bettauer
- Big Feeling, LLC
All providers in Rocky Hill, CT · Occupational Therapy Assistant 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.