Individual
REBECCA BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 KINGS HWY E FL 4, FAIRFIELD, CT 06825-4823
(203) 337-2675
Mailing address
18 THUNDER HILL LN, RIDGEFIELD, CT 06877-3107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3201
LICENSE#
CT
Enumeration date
06/05/2007
Last updated
07/08/2007
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