Doris Bens, OT

Individual provider Active NPI Occupational Therapist · Bristol, CT

NPI 1740480672 · NPPES record last updated Jul 19, 2007

Key facts

NPI
1740480672
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
000098 (CT)
Practice address
10 N. Main Street
Bristol, CT 06010
Phone
(860) 584-1485
Fax
(860) 585-5445
NPI assigned
Jul 19, 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

LicenseStateTypeSpecialty
000098CTMDAthletic Trainer

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 000098 CT Yes

Addresses

Primary practice location

10 N. Main Street
Bristol, CT 06010

Mailing address

181 Patricia Genova Drive
Newington, CT 06111
Phone (860) 667-5480

Other providers in Bristol, CT

All providers in Bristol, CT · Occupational Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.