Individual
MRS. AMY PORTER BELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
35 BUNKER HILL RD, WATERTOWN, CT 06795-3304
(860) 274-5428
(860) 945-3736
Mailing address
71 ORCHARD LN, WATERTOWN, CT 06795-2410
(860) 274-5428
(860) 945-3736
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000795
CT
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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