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Contact Information

NOREEN WALLACE, OTR L
602 RTE 169
WOODSTOCK, CT06281
 Phone: 860-963-0712
 Fax: 860-963-0712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for NOREEN WALLACE · (Female)

NPI Number 1366518771
Status Active
Credentials OTR L
Entity Individual
Enumeration date 11/28/2006
Last updated 09/19/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 00042
  • Other 2957257 AETNA
  • Other 130000442CT01 ANTHEM BLUE CROSS BLUE SH
  • Other 747741 CONNECTICARE
  • Other OV7803 HEALTHNET
  • Other 2V8290 ORTHONET
  • Other P815837 OXFORD
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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