Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Theresa Bortolan

Individual provider Occupational Therapy Assistant · NPI 1700243052

Theresa Bortolan is an Occupational Therapy Assistant in Wallingford, Connecticut. Practices as a sole proprietor. Licensed in Connecticut.

Licensed in
CT
In the registry since
2016
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Practice location Address checks out

22 Masonic Ave
Wallingford, CT 06492-3048
Phone: (203) 679-5959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 1635 (CT)

Record details

NPI number1700243052
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 18, 2016
Last updated in NPPESJanuary 18, 2016

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