Individual
MR. HEATHER JOYCE BLOECHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4 SUMMIT RD, SUITE C, PROSPECT, CT 06712-1485
(203) 440-3650
Mailing address
4 SUMMIT RD, SUITE C, PROSPECT, CT 06712-1485
(203) 440-3650
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001005
CT
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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