Nathaniel Gale Acord, COTA

Individual provider Active NPI Occupational Therapy Assistant · Wilton, CT

NPI 1447536339 · NPPES record last updated Oct 24, 2011

Key facts

NPI
1447536339
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
5202007458 (MI)
Practice address
64 Danbury Rd
Wilton, CT 06897
Phone
(765) 252-8168
NPI assigned
Oct 24, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5202007458MIMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5202007458 MI Yes

Addresses

Primary practice location

64 Danbury Rd
Wilton, CT 06897

Mailing address

64 Danbury Rd
Wilton, CT 06897
Phone (765) 252-8168

Other providers in Wilton, CT

All providers in Wilton, CT · Occupational Therapy Assistant in Connecticut

Sources for this page

Verify at the official NPI Registry.