| Marissa Maddalena, OTD, OTR/L | |
|
1932 14th St, Santa Monica, CA 90404-4605 | |
| (310) 344-2276 | |
| Not Available |
| Full Name | Marissa Maddalena |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 1932 14th St, Santa Monica, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326773623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 23494 (California) | Primary |
| Provider Name | Mdrs Spine & Sport Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1952394603 PECOS PAC ID: 3274446687 Enrollment ID: O20031111000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Maddalena, OTD, OTR/L 608 Santa Clara Ave Apt 4, Venice, CA 90291-3464 Ph: (540) 542-9625 | Marissa Maddalena, OTD, OTR/L 1932 14th St, Santa Monica, CA 90404-4605 Ph: (310) 344-2276 |
Jacquelyn Marie Derian Boebel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2331 20th St Apt 3, Santa Monica, CA 90405 Phone: 858-722-3627 | |
Kimberly Easton, OTD OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 10th St Apt 310, Santa Monica, CA 90403 Phone: 310-650-3637 | |
Zack Elias Pinto, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1932 14th St, Santa Monica, CA 90404 Phone: 310-344-2276 | |
Bryan Morales, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1932 14th St, Santa Monica, CA 90404 Phone: 805-914-4056 | |
Abigail Rachel Leven, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1932 14th St, Santa Monica, CA 90404 Phone: 310-344-2276 | |
Julie James Peterson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 911 9th St Apt 307, Santa Monica, CA 90403 Phone: 310-699-1202 | |
Roseanne Sofia Evangelista Blanco, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1932 14th St, Santa Monica, CA 90404 Phone: 310-344-2276 |