MEDICARE: MRS. DEBORAH ORZECHOWSKI MS, 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
1	225X00000X	Occupational Therapist	003138	CT

General Provider Information

NPI Number	:	1720288129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBORAH ORZECHOWSKI MS, OTR/L

Provider Business Mailing Address
First Line	:	1243 W MAIN ST
Second Line	:
City	:	WATERBURY
State	:	CT
Zip	:	06708-3101
Country	:	US
Telephone Number	:	203-527-9436
Fax Number	:

Provider Business Practice Location Address
First Line	:	1243 W MAIN ST
Second Line	:
City	:	WATERBURY
State	:	CT
Zip	:	06708-3101
Country	:	US
Telephone Number	:	203-527-9436
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2007
Last Update Date	:	07/23/2007

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