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Individual

AGNES MATUG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT ASSISTANT

Contact information

Practice address
44 WILCOX AVE, EAST BERLIN, CT 06023-1010
(860) 829-6774
Mailing address
44 WILCOX AVE, EAST BERLIN, CT 06023-1010
(860) 810-5487

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001397
CT

Other

Enumeration date
03/29/2018
Last updated
03/07/2024
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