Provider Demographics
NPI:1316739915
Name:BLEASDALE, ANNA NAOMI (OTR/L)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:NAOMI
Last Name:BLEASDALE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:N
Other - Last Name:SCHLESINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:14 HIGH RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06385-2546
Mailing Address - Country:US
Mailing Address - Phone:617-999-9522
Mailing Address - Fax:
Practice Address - Street 1:4 DAVIS RD E
Practice Address - Street 2:
Practice Address - City:OLD LYME
Practice Address - State:CT
Practice Address - Zip Code:06371-1447
Practice Address - Country:US
Practice Address - Phone:646-283-4546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004508225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist