Nicole Antilli
Individual provider Active NPI Developmental Therapist · Cromwell, CT
NPI 1225873193 · NPPES record last updated Jul 1, 2024
Key facts
- NPI
- 1225873193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 110 Court St
Cromwell, CT 06416-1273 - Phone
- (860) 613-9930
- Fax
- (860) 613-9952
- NPI assigned
- Jul 1, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
110 Court St
Cromwell, CT 06416-1273
Mailing address
110 Court St
Cromwell, CT 06416-1273
Phone (860) 613-9930
Other providers in Cromwell, CT
- Gina Paola Alvarado Paz Nunez
- Marguerite Alvarado
- Andrea C Alves Garcia
- Solange Anderson
- Kirsten Marie Andreasen
- Joelene Antoine
- Okechukwu Anyamele
- Apria Healthcare LLC
- Apria Healthcare, Inc.
- Jaclyn H Araby
All providers in Cromwell, CT · Developmental Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.