Organization
ROAD TO INDEPENDENCE
Active
Parent organization
LYNN COALSON, OTR/L, M.ED., CBT
Other names
Road to Indepdence
Organization subpart
Yes
Provider details
NPI number
Legal business name
LYNN COALSON, OTR/L, M.ED., CBT
Authorized official
LYNN A COALSON OTR/L, M.ED., CBT (OWNER)
(203) 376-6640
Entity
Organization
Contact information
Practice address
769 NEWFIELD ST STE 4, MIDDLETOWN, CT 06457-1846
(203) 376-6640
Mailing address
92 KIMBERLY RD, EAST GRANBY, CT 06026-9540
(203) 376-6640
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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