Provider Demographics
NPI:1295931178
Name:KEEFE, CAROLINE KATE (OTD, OTR-L)
Entity type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:KATE
Last Name:KEEFE
Suffix:
Gender:F
Credentials:OTD, OTR-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1261 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PLANTSVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06479-1750
Mailing Address - Country:US
Mailing Address - Phone:860-628-9000
Mailing Address - Fax:860-621-0083
Practice Address - Street 1:1261 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PLANTSVILLE
Practice Address - State:CT
Practice Address - Zip Code:06479-1750
Practice Address - Country:US
Practice Address - Phone:860-628-9000
Practice Address - Fax:860-621-0083
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001964225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist