Healthcare Provider Details

I. General information

NPI: 1649399213
Provider Name (Legal Business Name): ANNA MARIA MAROTTI PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

698 WEST AVE
NORWALK CT
06850-3302
US

IV. Provider business mailing address

216 FAIRFIELD BEACH RD
FAIRFIELD CT
06824-6842
US

V. Phone/Fax

Practice location:
  • Phone: 203-855-3564
  • Fax: 203-852-3418
Mailing address:
  • Phone: 203-256-1828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number004708
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: