National Provider Identifier Database

JAN M SOARES, OTR/L – NPI #1063409399
Hand


Contact Information

JAN M SOARES, OTR/L
622 HEBRON AVE STE 205
GLASTONBURY, CT06033-2421
Phone: 860-527-7161
Fax: 860-652-8411
Website:
Specialty Taxonomy Code
* Hand 225XH1200X

* Indicates primary specialty

NPI Profile & details for JAN M SOARES

NPI Number 1063409399
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 10/03/2005
Last updated 06/10/2025 - About 12 months ago
Sole proprietor1 No
Identifiers
  • CO License #: 002950
Hospital affiliation n/a

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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