Provider Demographics
NPI:1598388233
Name:DILIETO, GINA ANN (OTR/L)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:ANN
Last Name:DILIETO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:ANN
Other - Last Name:CESSARIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:31 SILVER OAK CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTHINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06489-4665
Mailing Address - Country:US
Mailing Address - Phone:203-906-6719
Mailing Address - Fax:
Practice Address - Street 1:31 SILVER OAK CIR
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-4665
Practice Address - Country:US
Practice Address - Phone:860-614-0572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-28
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist