IndividualActive
Breanne Cooper, COTAL
NPI 1295546919 · Occupational Therapy Assistant · Cromwell, CT
Provider details
- NPI number
- 1295546919
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTAL
- Sex
- Female
- Sole proprietor
- No
- License
- 001166 (CT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
110 Court St Ste 3
Cromwell, CT 06416-1273
Phone: (860) 613-9930
Fax: (860) 613-9952
Approximate (ZIP-level) locationGet directions
Mailing address
110 Court St Ste 3
Cromwell, CT 06416-1273
Registry dates
- Enumerated
- 2025-01-14
- Last updated
- 2025-01-14
- Certified
- 2025-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.