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Individual

MR. TODD STEPHEN STELIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTRL

Contact information

Practice address
601 BROAD ST # B, NEW LONDON, CT 06320-2544
(860) 848-4180
(860) 574-9393
Mailing address
601 BROAD ST # B, NEW LONDON, CT 06320-2544
(860) 848-4180
(860) 574-9393

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002139
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ANTHEM BCBS
130002139CT02
CT
01
BCBS RI
27989-7
RI
01
CIGNA
1915336
CT
01
TRICARE
061533801
CT
01
UNITED HEALTHCARE
061533801
CT
Enumeration date
01/18/2007
Last updated
02/02/2021
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