Provider Demographics
NPI:1790955896
Name:OAKES, CLAUDIA EDWARDS (OTR/L)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:EDWARDS
Last Name:OAKES
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 1:56 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-1623
Mailing Address - Country:US
Mailing Address - Phone:860-521-1975
Mailing Address - Fax:
Practice Address - Street 1:88 SCOTT SWAMP RD
Practice Address - Street 2:#145
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-2978
Practice Address - Country:US
Practice Address - Phone:860-409-0786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001071225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist