Individual
LISA BOLOGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
61 HILLCREST PARK RD, OLD GREENWICH, CT 06870-1019
(203) 637-2227
Mailing address
61 HILLCREST PARK, STAMFORD, CT 06870
(203) 637-2227
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3341
CT
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/31/2011
Last updated
08/12/2025
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