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Contact Information

KATHLEEN A SUBASIC, OTR/L
19 STOCKBRIDGE DR
AVON, CT06001
 Phone: 860-829-7870
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

225XE0001X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KATHLEEN A SUBASIC · (Female)

NPI Number 1851809974
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 01/11/2018
Last updated 08/26/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 04200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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