Sandra Lee Dizenzo, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · North Branford, CT
NPI 1922582253 · NPPES record last updated Sep 22, 2018
Key facts
- NPI
- 1922582253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 001041 (CT)
- Practice address
- 88 Notch Hill Rd
North Branford, CT 06471-1846 - Phone
- (203) 488-8000
- NPI assigned
- Sep 22, 2018
- 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 |
|---|---|---|---|
| 001041 | CT | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 001041 | CT | Yes |
Addresses
Primary practice location
88 Notch Hill Rd
North Branford, CT 06471-1846
Mailing address
5 S Cove Rd
Old Saybrook, CT 06475-2585
Phone (860) 391-8444
Other providers in North Branford, CT
- Alanna Coughlin
- Wayne Ernest Crossman
- Michael Andrew Czerniewski
- Jenna Marie Dearborne
- Donielle Didiano
- Jamie Elena Dynderski
- Madeline Eldredge
- Evergreen Woods
- Evergreen Woods Retirement, LLC
- Candace Lynn Fazio
All providers in North Branford, 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 Sep 22, 2018. 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.