Individual
BRITTNEY NICOLE OBOIKOVITZ-TASTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
37 OAK RIDGE DR, AVON, CT 06001-2213
(860) 790-0116
Mailing address
229 WILBURS LN, GUILFORD, CT 06437-1018
(203) 907-9870
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5158
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14448005
CAQH
CT
Enumeration date
04/17/2019
Last updated
02/14/2020
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