Tina M Aspromonte-Weiss, OTR/L

Individual provider Active NPI Occupational Therapist · Mystic, CT

NPI 1811245939 · NPPES record last updated Aug 21, 2012

Key facts

NPI
1811245939
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
001430 (CT)
Practice address
28 Broadway Ave
Mystic, CT 06355-2833
Phone
(860) 536-9655
NPI assigned
Aug 21, 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
001430CTMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 001430 CT Yes

Addresses

Primary practice location

28 Broadway Ave
Mystic, CT 06355-2833

Mailing address

28 Broadway Ave
Mystic, CT 06355-2833
Phone (860) 536-9655

Other providers in Mystic, CT

All providers in Mystic, CT · Occupational Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.