Basic Information
| Provider Information | |||||||||
| NPI: | 1477192995 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ADAPT & LEARN, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 231 | ||||||||
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| City: | AVON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060010231 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8604703391 | ||||||||
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| Practice Location | |||||||||
| Address1: | 160 FARMINGTON AVE | ||||||||
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| City: | FARMINGTON | ||||||||
| State: | CT | ||||||||
| PostalCode: | 060321728 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8604703391 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/01/2020 | ||||||||
| LastUpdateDate: | 01/01/2020 | ||||||||
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| AuthorizedOfficialLastName: | FORD-LANZA | ||||||||
| AuthorizedOfficialFirstName: | ALESCIA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER, OT | ||||||||
| AuthorizedOfficialTelephone: | 8604703391 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MS OTR/L, ATP | ||||||||
| NPICertificationDate: | 01/01/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225XP0200X | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics |
No ID Information.