Individual
PATRICIA HAAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
111 NEW HAVEN AVE, DERBY, CT 06418-2197
(203) 735-8336
(203) 735-3704
Mailing address
111 NEW HAVEN AVE, DERBY, CT 06418-2197
(203) 735-8336
(203) 735-3704
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50PTSOUTHCT01
BCBS
CT
01
—
ANCII53
OXFORD HEALTHPLANS
CT
Enumeration date
05/08/2007
Last updated
09/11/2025
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