Provider Demographics
NPI:1578673612
Name:CEPLENSKI, HEIDI ANNE (OT)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:ANNE
Last Name:CEPLENSKI
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 WESTBROOK RD
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:CT
Mailing Address - Zip Code:06426-1511
Mailing Address - Country:US
Mailing Address - Phone:860-767-7587
Mailing Address - Fax:860-767-3418
Practice Address - Street 1:124 WESTBROOK RD
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:CT
Practice Address - Zip Code:06426-1511
Practice Address - Country:US
Practice Address - Phone:860-767-7587
Practice Address - Fax:860-767-3418
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000213174400000X
CT002091174400000X
CT002059174400000X
CT005099174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist