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Individual

MRS. KATHY F. STELIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
88 NORWICH NEW LONDON TPKE, SUITE 1, UNCASVILLE, CT 06382-2518
(860) 848-9157
(860) 848-3471
Mailing address
88 NORWICH NEW LONDON TPKE, SUITE 1, UNCASVILLE, CT 06382-2518
(860) 848-9157
(860) 848-3471

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000079
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
130000079CT03
BCBS ID NUMBER
CT
01
29195-6
BCBS RI NUMBER
RI
01
2V7212
HEALTHNET ID NUMBER
CT
Enumeration date
09/13/2006
Last updated
06/23/2011
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