Active NPIIndividual providerSole proprietor

Alissa Gandiaga

Occupational Therapist in Avon, Connecticut

NPI Number1316608771
Practice location
652 W Avon RD, Avon, CT 06001-2906
Fax
—
Last updated
January 6, 2022

Alissa Gandiaga is an Occupational Therapist based in Avon, CT. Alissa Gandiaga practices in Avon, CT. The NPI Number for Alissa Gandiaga is 1316608771 and holds a License No. 005844 (CT). The current practice location address for Alissa Gandiaga is 652 W Avon RD, Avon, CT 06001-2906 and can be reached out via phone at 860-673-2521.

Provider Profile Details

NPI Number
1316608771
Provider Name
Alissa Gandiaga
Provider Entity Type
Individual
Gender
Female
Address
652 W Avon RD, Avon, CT 06001-2906
Phone Number
860-673-2521
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 6, 2022
Last Update Date
January 6, 2022
Certification Date
January 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
652 W Avon RD
Avon, CT 06001-2906
City
Avon
Zip
06001-2906
Phone Number
860-673-2521
Avon, CT 06001Get directions →

Provider Business Mailing Address Details

Address
245 Great Swamp RD
Glastonbury, CT 06033-1321
City
Glastonbury
State
CT
Zip
06033-1321
Phone Number
860-874-2280

License Information

License Number
005844
License State
CT
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Alissa Gandiaga?

The NPI number of Alissa Gandiaga is 1316608771. It was assigned on January 6, 2022 and is currently active in the NPPES registry.

What is the specialty of Alissa Gandiaga?

Alissa Gandiaga is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in CT under license number 005844.

Where does Alissa Gandiaga practice?

The practice location is 652 W Avon RD, Avon, CT 06001-2906. The office can be reached at 860-673-2521 (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 1316608771 directly on the NPPES registry website.

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