Erica Marie Dipietro

Individual provider Active NPI Occupational Therapist · Wolcott, CT

NPI 1639425804 · NPPES record last updated Jul 25, 2012

Key facts

NPI
1639425804
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
003774 (CT)
Practice address
50 Beach Rd
Wolcott, CT 06716-1902
Phone
(203) 879-8066
Fax
(203) 879-8484
NPI assigned
Jul 25, 2012
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

State licenses

LicenseStateTypeSpecialty
003774CTMDCounseling Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 003774 CT Yes

Addresses

Primary practice location

50 Beach Rd
Wolcott, CT 06716-1902

Mailing address

56 Simon Dr
Wolcott, CT 06716-2048

Other providers in Wolcott, CT

All providers in Wolcott, CT · Occupational Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.