Healthcare Provider Details

I. General information

NPI: 1477192995
Provider Name (Legal Business Name): ADAPT & LEARN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/01/2020
Last Update Date: 01/01/2020
Certification Date: 01/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 FARMINGTON AVE
FARMINGTON CT
06032-1728
US

IV. Provider business mailing address

PO BOX 231
AVON CT
06001-0231
US

V. Phone/Fax

Practice location:
  • Phone: 860-470-3391
  • Fax:
Mailing address:
  • Phone: 860-470-3391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALESCIA FORD-LANZA
Title or Position: OWNER, OT
Credential: MS OTR/L, ATP
Phone: 860-470-3391