Elissa G Maruca
Developmental Therapist in Wethersfield, Connecticut
1679755813- Practice location
- 465 Silas Deane Hwy, Wethersfield, CT 06109-2134
- Phone
- 860-721-9999
- Fax
- —
- Last updated
- August 6, 2013
Elissa Gonzalez Maruca is a Developmental Therapist based in Wethersfield, CT. Elissa Gonzalez Maruca practices in Wethersfield, CT. The NPI Number for Elissa Gonzalez Maruca is 1679755813 and holds a License No. 004084 (CT). The current practice location address for Elissa Gonzalez Maruca is 465 Silas Deane Hwy, Wethersfield, CT 06109-2134 and can be reached out via phone at 860-721-9999.
Provider Profile Details
- NPI Number
- 1679755813
- Provider Name
- Elissa Gonzalez Maruca
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 465 Silas Deane Hwy, Wethersfield, CT 06109-2134
- Phone Number
- 860-721-9999
- Primary Taxonomy
- Developmental Therapist · 222Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 29, 2007
- Last Update Date
- August 6, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 465 Silas Deane Hwy
Wethersfield, CT 06109-2134 - City
- Wethersfield
- State
- Connecticut
- Zip
- 06109-2134
- Phone Number
- 860-721-9999
Provider Business Mailing Address Details
- Address
- 465 Silas Deane Hwy
Wethersfield, CT 06109-2134 - City
- Wethersfield
- State
- CT
- Zip
- 06109-2134
- Phone Number
- 860-721-9999
License Information
- Taxonomy (1)
- Developmental Therapist · 222Q00000X · Primary
- License Number (2)
- 004084
- License State (2)
- CT
- Taxonomy (2)
- Occupational Therapist, Pediatrics · 225XP0200X
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 Elissa G Maruca?
The NPI number of Elissa G Maruca is 1679755813. It was assigned on November 29, 2007 and is currently active in the NPPES registry.
What is the specialty of Elissa G Maruca?
Elissa G Maruca is registered under the primary taxonomy Developmental Therapist (code 222Q00000X), licensed in CT under license number 004084.
Where does Elissa G Maruca practice?
The practice location is 465 Silas Deane Hwy, Wethersfield, CT 06109-2134. The office can be reached at 860-721-9999 (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 1679755813 directly on the NPPES registry website.