Agnes Matug, OT ASSISTANT
Individual provider Active NPI Occupational Therapy Assistant · East Berlin, CT
NPI 1245735232 · NPPES record last updated Mar 7, 2024
Key facts
- NPI
- 1245735232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 001397 (CT)
- Practice address
- 44 Wilcox Ave
East Berlin, CT 06023-1010 - Phone
- (860) 829-6774
- NPI assigned
- Mar 29, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 001397 | CT | Yes |
Addresses
Primary practice location
44 Wilcox Ave
East Berlin, CT 06023-1010
Mailing address
44 Wilcox Ave
East Berlin, CT 06023-1010
Phone (860) 810-5487
Other providers in East Berlin, CT
- Journey to New Beginnings LLC.
- Lisa Lacen
- Sehee Lee
- Live in Truth Therapeutic Services LLC
- Mac Mental & Physical Wellness LLC
- Rachael Medina
- Mountain Laurel Mental Health LLC
- Musculoskeletal Medicine & Pain Management Associates, PC
- Path to Empowered Healing Counseling LLC
- Pharmscript of CT LLC
All providers in East Berlin, CT · Occupational Therapy Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 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.