Provider Demographics
NPI:1306172622
Name:PAGE, TAMMY L (MS OTR/L)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:L
Last Name:PAGE
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 SKINNER RD
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-2723
Mailing Address - Country:US
Mailing Address - Phone:860-916-1802
Mailing Address - Fax:
Practice Address - Street 1:90 SKINNER RD
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-2723
Practice Address - Country:US
Practice Address - Phone:860-916-1802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-21
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003542225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics