| Dynamic Child | |
|
175 Hartford Turnpike, Tolland, CT 06084 | |
| (860) 310-8676 | |
| Not Available |
| Full Name | Dynamic Child |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 175 Hartford Turnpike, Tolland, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821743113 | NPI | - | NPPES |
| 1114431038 | Medicaid | CT | |
| 1134593247 | Medicaid | CT | |
| 1225363070 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Child 64 Lamb Rd, Stafford Springs, CT 06076-3313 Ph: (860) 310-8676 | Dynamic Child 175 Hartford Turnpike, Tolland, CT 06084 Ph: (860) 310-8676 |
Ms. Saundra Rae Leubner, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 37 Marlboro Glade, Tolland, CT 06084 Phone: 203-932-5711 | |
Marcy Celeste Racicot, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 Shenipsit Lake Rd, Tolland, CT 06084 Phone: 860-872-2999 | |
Tyler Watts, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 299 Tolland Stage Rd, Tolland, CT 06084 Phone: 860-849-7135 | |
Kaitlin B Gallagher, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 Shenipsit Lake Rd, Tolland, CT 06084 Phone: 860-872-2999 | |
Anita C Russell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 Shenipsit Lake Rd, Tolland, CT 06084 Phone: 860-872-2999 | |
Kaitlyn Marie Ryan, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 251 S River Rd, Tolland, CT 06084 Phone: 570-470-6143 |