Lynn Ellen Dubreuil, OTR/L

Individual provider Active NPI Occupational Therapist · Niantic, CT

NPI 1619219599 · NPPES record last updated Mar 19, 2013

Key facts

NPI
1619219599
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2516 (CT)
Practice address
23 Liberty Way
Niantic, CT 06357-1030
Phone
(860) 739-4007
NPI assigned
Mar 19, 2013
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2516 CT Yes

Addresses

Primary practice location

23 Liberty Way
Niantic, CT 06357-1030

Mailing address

23 Liberty Way
Niantic, CT 06357-1030
Phone (860) 739-4007

Other providers in Niantic, CT

All providers in Niantic, CT · Occupational Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.