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MR. HEATHER JOYCE BLOECHLE COTA/L

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1982835963

Individual Registrant:
MR. HEATHER JOYCE BLOECHLE COTA/L
Gender: F
Sole Proprietor

Location and contact information for practice:
4 SUMMIT RD SUITE C PROSPECT, CT 06712-1485 US
Tel: 203-440-3650  Fax: --

Contact information for business:
4 SUMMIT RD SUITE C PROSPECT, CT 06712-1485 US
Tel: 203-440-3650  Fax: --

Registration Information:
NPI: 1982835963
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
CT001005

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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