Healthcare Provider Details

I. General information

NPI: 1437064078
Provider Name (Legal Business Name): AMBER HYDINGER OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

184 LIBERTY ST
NEW HAVEN CT
06519-1625
US

IV. Provider business mailing address

50 RED CLOVER CIR
MIDDLETOWN CT
06457-4940
US

V. Phone/Fax

Practice location:
  • Phone: 203-688-9704
  • Fax:
Mailing address:
  • Phone: 860-751-8050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5556
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: