IndividualActive
Pamela Moran, RT
NPI 1417069840 · Recreation Therapist · Newington, CT
Provider details
- NPI number
- 1417069840
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
555 Willard Ave
Newington, CT 06111-2631
Phone: (860) 594-6338
Fax: (860) 667-6842
Approximate (ZIP-level) locationGet directions
Mailing address
87 Lakeside Dr
Bristol, CT 06010-7379
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.