Individual
JESSICA WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
230 FARMINGTON AVE, THE TALCOTT CENTER FOR DEVELOPMENT, FARMINGTON, CT 06032-1916
(860) 674-1824
Mailing address
230 FARMINGTON AVE, THE TALCOTT CENTER FOR DEVELOPMENT, FARMINGTON, CT 06032-1916
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
CT003367
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130003367CT01
ANTHEM BCBS
—
Enumeration date
03/15/2008
Last updated
03/15/2008
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