Provider Demographics
NPI:1174118624
Name:TRANSFORMATIVE OCCUPATIONAL THERAPY AND CONSULTING LLC
Entity type:Organization
Organization Name:TRANSFORMATIVE OCCUPATIONAL THERAPY AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:REED-OLIVER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, OTD
Authorized Official - Phone:475-219-0013
Mailing Address - Street 1:1654 KING ST UNIT 6
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-6047
Mailing Address - Country:US
Mailing Address - Phone:475-219-0013
Mailing Address - Fax:
Practice Address - Street 1:1654 KING ST
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-6000
Practice Address - Country:US
Practice Address - Phone:475-219-0013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-06
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty