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NPI Code Detail

MEDICARE: CARYN PARR OTR/L

MEDICARE:   CARYN  PARR  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist004103CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1004103OTHERCT OT LICENSE

General Provider Information

NPI Number : 1679953046
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARYN PARR OTR/L
Provider Business Mailing Address
First Line : 225 AMITY RD
Second Line :
City : WOODBRIDGE
State : CT
Zip : 06525-2206
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 225 AMITY RD
Second Line :
City : WOODBRIDGE
State : CT
Zip : 06525-2206
Country : US
Telephone Number : 203-387-0076
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2015
Last Update Date : 04/25/2022

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Directions to “ CARYN PARR OTR/L” Practice Location

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