Provider Demographics
NPI:1609113471
Name:HASSETT, LINDA PANTANO (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:PANTANO
Last Name:HASSETT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06480-1156
Mailing Address - Country:US
Mailing Address - Phone:860-759-2011
Mailing Address - Fax:860-342-4104
Practice Address - Street 1:595 MAIN ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:CT
Practice Address - Zip Code:06480-1156
Practice Address - Country:US
Practice Address - Phone:860-759-2011
Practice Address - Fax:860-342-4104
Is Sole Proprietor?:No
Enumeration Date:2013-01-13
Last Update Date:2013-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001553225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation