Provider Demographics
NPI:1598335424
Name:OLER, EMILY (MOTR/L)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:OLER
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:OLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:45 SILKEY RD
Mailing Address - Street 2:
Mailing Address - City:NORTH GRANBY
Mailing Address - State:CT
Mailing Address - Zip Code:06060-1419
Mailing Address - Country:US
Mailing Address - Phone:860-819-4913
Mailing Address - Fax:
Practice Address - Street 1:20-30 BEAVER RD
Practice Address - Street 2:
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-2243
Practice Address - Country:US
Practice Address - Phone:860-529-0023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003450225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics