Shirley Ann Rafferty, BS
Individual provider Active NPI Gerontology Occupational Therapist · Thompson, CT
NPI 1720302995 · NPPES record last updated Mar 17, 2010
Key facts
- NPI
- 1720302995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Occupational Therapist 225XG0600X
- License
- 001146 (CT)
- Practice address
- 6 Logee Rd
Thompson, CT 06277-2509 - Phone
- (508) 579-4350
- NPI assigned
- Mar 17, 2010
- 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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001146 | CT | MD | Gerontology Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | 001146 | CT | Yes |
Addresses
Primary practice location
6 Logee Rd
Thompson, CT 06277-2509
Mailing address
6 Logee Rd
PO Box 351
Thompson, CT 06277-2509
Phone (508) 579-4350
Other providers in Thompson, CT
- Jeongseok Han
- Hno LLC
- Joelle Brohen Licsw PLLC
- Lauren Elizabeth Maldonado
- Professionally Speaking LLC
- Amy L Roode
- Kimberly Thomas
- Thornfield Hall Inc
All providers in Thompson, CT · Gerontology 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 Mar 17, 2010. 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.