Bryanna Danene Defazio, OTR/L | |
379 Georgetown Rd, Carneys Point, NJ 08069-2560 | |
(304) 476-1924 | |
Not Available |
Full Name | Bryanna Danene Defazio |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Pediatrics |
Location | 379 Georgetown Rd, Carneys Point, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558870097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT17856 (California) | Secondary |
225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
Provider Name | Fox Rehabilitation Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1326092503 PECOS PAC ID: 0143133009 Enrollment ID: O20040407000721 |
Mailing Address | Practice Location Address |
---|---|
Bryanna Danene Defazio, OTR/L 379 Georgetown Rd, Carneys Point, NJ 08069-2560 Ph: (304) 476-1924 | Bryanna Danene Defazio, OTR/L 379 Georgetown Rd, Carneys Point, NJ 08069-2560 Ph: (304) 476-1924 |
Mary Burzinski, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 449 S Pennsville Auburn Rd, Carneys Point, NJ 08069 Phone: 856-299-8900 | |
Angelina Welch, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 291 Harding Hwy Ste 1, Carneys Point, NJ 08069 Phone: 856-299-9229 | |
Elizabeth Diprimio, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 291 Harding Hwy, Carneys Point, NJ 08069 Phone: 856-299-9229 |