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Provider Information for 1598060931

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know


Other Name:   AMY WATTS
Gender: FEMALE

Individual NPI: 1598060931

Calendar   Last Updated:  2011-01-16
  Certification Date: 


Name Value
NPI 1598060931
Enumeration Date 2011-01-16
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2900 MAIN ST SUITE 1D
STRATFORD, CT 06614-4946
United States

Phone: 203-378-0092 | Fax: 203-375-4540
View Map External Link
Primary Practice Address 1931 BLACK ROCK TPKE
FAIRFIELD, CT 06825-3506
United States

Phone: 203-384-8681 | Fax: 203-384-0722
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Primary Taxonomy Selected Taxonomy State License Number
Yes 225X00000X - Occupational Therapist CT 003725