Mia Grayce Maselli, OTR/L
Individual provider Active NPI Occupational Therapist · Oxford, CT
NPI 1447999727 · NPPES record last updated Jun 3, 2022
Key facts
- NPI
- 1447999727
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5945 (CT)
- Practice address
- 350 Center Rock GRN
Oxford, CT 06478-3169 - Phone
- (203) 828-6790
- NPI assigned
- Jun 3, 2022
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5945 | CT | Yes |
Addresses
Primary practice location
350 Center Rock GRN
Oxford, CT 06478-3169
Mailing address
350 Center Rock GRN Ste 10
Oxford, CT 06478-3170
Phone (203) 828-6790
Other providers in Oxford, CT
- Rabindranath Mahabir
- Lucrezia Mangione
- Mariana Francesca Marchitto
- Adrianna E Marino
- Nico Dylan-Grant Markette
- Danielle Matos
- Shannon A McEnerney
- Chelsea McGee
- MG Counseling LLC
- Midnight Pine Counseling PLLC
All providers in Oxford, CT · Occupational 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 Jun 3, 2022. 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.