Most Relevant Information
Provider Data
| NPI Number: | 1003280785 |
| Provider Name: | KRISTEN CHIPMAN COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 000250 |
Most Important Dates
| Enumeration Date: | 11/18/2015 |
| Last Updated: | 11/18/2015 |
Provider Practice Location
23 FAIR ST
BRISTOL
CT
060105531
Practice Location Phone/Fax
| Phone: | 8605892923 |
| Fax: |
Provider Mailing Location
350 FERN HILL RD
BRISTOL
CT
060103180
Provider Mailing Phone/Fax
| Phone: | 8603141393 |
| Fax: |