IndividualActive
Jan Soares, OTR/L
NPI 1063409399 · Hand Occupational Therapist · Glastonbury, CT
Provider details
- NPI number
- 1063409399
- Entity type
- Individual
- Primary specialty
- Hand Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 002950 (CO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
622 Hebron Ave Ste 205
Glastonbury, CT 06033-2421
Phone: (860) 527-7161
Fax: (860) 652-8411
Approximate (ZIP-level) locationGet directions
Mailing address
622 Hebron Ave Ste 205
Glastonbury, CT 06033-2421
Registry dates
- Enumerated
- 2005-10-03
- Last updated
- 2025-06-10
- Certified
- 2025-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.