| Therapeutic Enterprises Inc. | |
|
602 Route 169, Woodstock, CT 06281 | |
| (860) 963-0712 | |
| (860) 963-0712 |
| Full Name | Therapeutic Enterprises Inc. |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 602 Route 169, Woodstock, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679759310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 000442 (Connecticut) | Primary |
| Provider Name | Noreen A Wallace |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366518771 PECOS PAC ID: 1153597216 Enrollment ID: I20111221000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Enterprises Inc. 42 Old Sawmill Rd, Woodstock, CT 06281-2017 Ph: (860) 963-0712 | Therapeutic Enterprises Inc. 602 Route 169, Woodstock, CT 06281 Ph: (860) 963-0712 |
Noreen Wallace, OTR L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 602 Rte 169, Woodstock, CT 06281 Phone: 860-963-0712 Fax: 860-963-0712 | |
Ms. Janet A. Bellamy, M.ED., OTR/L, CKTP Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 602 Route 169, Woodstock, CT 06281 Phone: 860-963-0712 Fax: 860-963-0796 |