Healthcare Provider Details

I. General information

NPI: 1346117900
Provider Name (Legal Business Name): ANDREW GELTMAN OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 W MAIN ST STE 210
MILFORD CT
06460-2560
US

IV. Provider business mailing address

326 W MAIN ST STE 210
MILFORD CT
06460-2560
US

V. Phone/Fax

Practice location:
  • Phone: 203-283-7027
  • Fax:
Mailing address:
  • Phone: 203-283-7027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number540704
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: