Individual
MRS. JESSICA LYNN ERBIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
132 ELM ST, CHESHIRE, CT 06410-2808
(203) 250-9663
(203) 699-9641
Mailing address
132 ELM ST, CHESHIRE, CT 06410-2808
(203) 250-9663
(203) 699-9641
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002758
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012701
CIGNA ORTHONET
CT
01
—
0100901
AETNA ORTHONET
CT
01
—
130002758CT01
BCBS
CT
01
—
3672389002
CIGNA
CT
01
—
64-04292
UNITED HEALTHCARE
CT
01
—
754954
CONNECTICARE
CT
01
—
9044356
AETNA
CT
Enumeration date
05/17/2007
Last updated
12/22/2011
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