Provider Demographics
NPI:1346027687
Name:SMELTER, ROBIN L (OTR/L)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:L
Last Name:SMELTER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 KANUNGUM TRL
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-4905
Mailing Address - Country:US
Mailing Address - Phone:860-214-5895
Mailing Address - Fax:
Practice Address - Street 1:77 KANUNGUM TRL
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-4905
Practice Address - Country:US
Practice Address - Phone:860-214-5895
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000776225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics