Healthcare Provider Details

I. General information

NPI: 1841256484
Provider Name (Legal Business Name): DEBRA JABLONSKI CARTY OTR L BCP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 BARNABAS RD
NEWTOWN CT
06470-1259
US

IV. Provider business mailing address

60 STATE ROUTE 39
NEW FAIRFIELD CT
06812
US

V. Phone/Fax

Practice location:
  • Phone: 203-270-1370
  • Fax: 203-270-1417
Mailing address:
  • Phone: 203-746-7237
  • Fax: 203-270-1417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number1023
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: