Most Relevant Information
Provider Data
NPI Number: | 1003182759 |
Provider Name: | KATHRYN M BELLOWS COTA/L |
Entity Type: | Individual |
Taxonomy Code: | 224Z00000X |
Specialty: | Occupational Therapy Assistant |
License Number: | 001151 |
Most Important Dates
Enumeration Date: | 03/27/2012 |
Last Updated: | 03/27/2012 |
Provider Practice Location
108 E LAKE ST
WINSTED
CT
060981912
Practice Location Phone/Fax
Phone: | 8603798591 |
Fax: |
Provider Mailing Location
101 GREENVIEW DR
WATERBURY
CT
067083931
Provider Mailing Phone/Fax
Phone: | 2035971397 |
Fax: | 2035971397 |