Ashlie Novak

Individual provider Active NPI Occupational Therapist · Windsor Locks, CT

NPI 1952157299 · NPPES record last updated Apr 26, 2024

Key facts

NPI
1952157299
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
6432 (CT)
Practice address
14 Main St
Windsor Locks, CT 06096-2307
Phone
(860) 623-4315
NPI assigned
Apr 26, 2024
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)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6432 CT Yes

Addresses

Primary practice location

14 Main St
Windsor Locks, CT 06096-2307

Mailing address

103 Granville Rd
North Granby, CT 06060-1306
Phone (860) 716-1807

Other providers in Windsor Locks, CT

All providers in Windsor Locks, CT · Occupational Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.