IndividualActive
Amanda Baum-Johnson
NPI 1457615338 · Pediatric Occupational Therapist · Fairfield, CT
Provider details
- NPI number
- 1457615338
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 003837 (CT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1300 Post Rd Ste 204
Fairfield, CT 06824-6038
Phone: (203) 255-3669
Fax: (203) 254-3790
Approximate (ZIP-level) locationGet directions
Mailing address
101 N Plains Industrial Rd Bldg 2
Wallingford, CT 06492-2360
Registry dates
- Enumerated
- 2012-06-26
- Last updated
- 2021-11-28
- Certified
- 2021-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.