IndividualActive
Andrea Blake, OTR
NPI 1669088100 · Occupational Therapist · Wilton, CT
Provider details
- NPI number
- 1669088100
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5513 (CT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
17 Woodchuck Ln
Wilton, CT 06897-3427
Phone: (347) 604-4574
Approximate (ZIP-level) locationGet directions
Mailing address
17 Woodchuck Ln
Wilton, CT 06897-3427
Registry dates
- Enumerated
- 2020-09-21
- Last updated
- 2020-09-21
- Certified
- 2020-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.