| Doctor Name: | JAN M. SOARES |
| NPI Number: | 1063409399 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR/L |
| License Number: | 002950 |
| Business Practice Address: | 195 Eastern Blvd Suite 200 Glastonbury, CT - 060331208 |
| Business Phone Number: | 8605277161 |
| Business Fax Number: | 8606528411 |
| Mailing Address: | 195 Eastern Blvd, Suite 200 GLASTONBURY |
| State: | CT |
| Postal Code: | 060331208 |
| Phone Number: | 8605277161 |
| Fax Number: | 8606528411 |
| NPI Enumeration Date: | 10/03/2005 |
| NPI Last Update Date: | 09/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 002950 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |