Heather Anne Talledo, | |
142 Cooper Ave, Weatogue, CT 06089-7957 | |
(860) 317-0436 | |
Not Available |
Full Name | Heather Anne Talledo |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 142 Cooper Ave, Weatogue, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366158396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 002711 (Connecticut) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1265178354 PECOS PAC ID: 2163339722 Enrollment ID: O20220909002018 |
Mailing Address | Practice Location Address |
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Heather Anne Talledo, 25 Mountain View Dr, Weatogue, CT 06089-9721 Ph: (860) 985-8885 | Heather Anne Talledo, 142 Cooper Ave, Weatogue, CT 06089-7957 Ph: (860) 317-0436 |
Kaitlyn Mcisaac, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Hopmeadow St, Weatogue, CT 06089 Phone: 860-284-9779 | |
Kaileigh Perez, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Hopmeadow St, Weatogue, CT 06089 Phone: 860-284-9779 Fax: 860-409-2190 | |
Elizabeth J Fisher, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 Hopmeadow St, Weatogue, CT 06089 Phone: 860-284-9779 Fax: 860-409-2190 | |
Nicole Thibault, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Hopmeadow St Ste 500, Weatogue, CT 06089 Phone: 860-470-3391 | |
Lisa Marie Tarchini, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 Hopmeadow St Ste 500, Weatogue, CT 06089 Phone: 860-470-3391 | |
Katy Diamond, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 225 Hopmeadow St, Suite 500, Weatogue, CT 06089 Phone: 860-777-5241 |