Individual provider · Type 1 NPI
Pamela Barbara Moran, RT
Recreation Therapist · Newington, CT
NPI number
1417069840
Active
Practice location
555 Willard Ave
Newington, CT 06111-2631
Fax (860) 667-6842
Mailing address
87 Lakeside Dr
Bristol, CT 06010-7379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Recreation Therapist Primary | 225800000X | None listed |
Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
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About NPI 1417069840
Pamela Barbara Moran, RT's National Provider Identifier is 1417069840, issued on Aug 31, 2006. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Newington, CT. The record was last updated on Jul 8, 2007.