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MS. JENNIFER CLAIRE HIRSCHBERG-WISE OT
>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1518297712
Individual Registrant:MS. JENNIFER CLAIRE HIRSCHBERG-WISE OT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
900 MAIN ST OAKVILLE, CT 06779-1999 US
Tel: 860-945-3012 Fax: 860-945-9854
Tel: 860-945-3012 Fax: 860-945-9854
Contact information for business:
PO BOX 425 WATERTOWN, CT 06795-0425 US
Tel: 860-945-3012 Fax: 860-945-9854
Tel: 860-945-3012 Fax: 860-945-9854
Registration Information:
NPI: 1518297712
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | CT | 003554 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
