Agnes Matug, OT ASSISTANT
Occupational Therapy Assistant in East Berlin, Connecticut
1245735232- Practice location
- 44 Wilcox Ave, East Berlin, CT 06023-1010
- Phone
- 860-829-6774
- Fax
- —
- Last updated
- March 7, 2024
Agnes Matug is an Occupational Therapy Assistant based in East Berlin, CT. Agnes Matug practices in East Berlin, CT and has the professional credentials of OT ASSISTANT. The NPI Number for Agnes Matug is 1245735232 and holds a License No. 001397 (CT). The current practice location address for Agnes Matug is 44 Wilcox Ave, East Berlin, CT 06023-1010 and can be reached out via phone at 860-829-6774.
Provider Profile Details
- NPI Number
- 1245735232
- Provider Name
- Agnes Matug
- Credential
- OT ASSISTANT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 44 Wilcox Ave, East Berlin, CT 06023-1010
- Phone Number
- 860-829-6774
- Primary Taxonomy
- Occupational Therapy Assistant · 224Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 29, 2018
- Last Update Date
- March 7, 2024
- Certification Date
- March 7, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 44 Wilcox Ave
East Berlin, CT 06023-1010 - City
- East Berlin
- State
- Connecticut
- Zip
- 06023-1010
- Phone Number
- 860-829-6774
Provider Business Mailing Address Details
- Address
- 44 Wilcox Ave
East Berlin, CT 06023-1010 - City
- East Berlin
- State
- CT
- Zip
- 06023-1010
- Phone Number
- 860-810-5487
License Information
- License Number
- 001397
- License State
- CT
- Taxonomy
- Occupational Therapy Assistant · 224Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Agnes Matug, OT ASSISTANT?
The NPI number of Agnes Matug, OT ASSISTANT is 1245735232. It was assigned on March 29, 2018 and is currently active in the NPPES registry.
What is the specialty of Agnes Matug, OT ASSISTANT?
Agnes Matug, OT ASSISTANT is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in CT under license number 001397.
Where does Agnes Matug, OT ASSISTANT practice?
The practice location is 44 Wilcox Ave, East Berlin, CT 06023-1010. The office can be reached at 860-829-6774 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245735232 directly on the NPPES registry website.