Individual
COLLEEN A GAVNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
515 CENTERPOINT DR, MIDDLETOWN, CT 06457-7570
(860) 421-4052
(860) 421-4053
Mailing address
45 OLD KINGS RD, AVON, CT 06001-2300
(716) 310-1565
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2058
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058
STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
CT
Enumeration date
06/01/2020
Last updated
06/01/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us