Healthcare Provider Details

I. General information

NPI: 1740118892
Provider Name (Legal Business Name): DARIA VIRGINIA MADDEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 COURT ST STE 3
CROMWELL CT
06416-1273
US

IV. Provider business mailing address

433 TIDEWATER DR
WARWICK RI
02889-5158
US

V. Phone/Fax

Practice location:
  • Phone: 860-613-9930
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: