Provider Demographics
NPI:1427430347
Name:BARR-RESESKA, DOROTHY ANN (COTA/L)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:ANN
Last Name:BARR-RESESKA
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:584 LONG HILL AVE
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-4810
Mailing Address - Country:US
Mailing Address - Phone:203-929-5321
Mailing Address - Fax:
Practice Address - Street 1:584 LONG HILL AVE
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-4810
Practice Address - Country:US
Practice Address - Phone:203-929-5321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-27
Last Update Date:2015-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001363224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant