Individual
JENNIFER ANN BARTISS-EARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L, CHT
Contact information
Practice address
12 BRICK WALK LN, FARMINGTON, CT 06032-2368
(203) 376-5646
Mailing address
74 S WASHINGTON ST, PLAINVILLE, CT 06062-2757
(203) 376-5646
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001659
CT
225XH1200X
Hand Occupational Therapist
001659
CT
Other
Enumeration date
05/18/2018
Last updated
09/24/2021
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