OrganizationActive
Dynamic Child
NPI 1821743113 · Pediatric Occupational Therapist · Tolland, CT
Provider details
- NPI number
- 1821743113
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Regan Walters, Owner(860) 310-8676
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
175 Hartford Turnpike
Tolland, CT 06084
Phone: (860) 310-8676
Approximate (ZIP-level) locationGet directions
Mailing address
64 Lamb Rd
Stafford Springs, CT 06076-3313
Registry dates
- Enumerated
- 2022-02-16
- Last updated
- 2022-02-16
- Certified
- 2022-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.