Miss Traci Louise Mazza, OTR | |
1657 W Cortland St, Chicago, IL 60622-1119 | |
(847) 486-4140 | |
Not Available |
Full Name | Miss Traci Louise Mazza |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1657 W Cortland St, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528486776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056010522 (Illinois) | Primary |
Provider Name | Empowerme Rehabilitation Colorado, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063176493 PECOS PAC ID: 0446641179 Enrollment ID: O20220106001466 |
Mailing Address | Practice Location Address |
---|---|
Miss Traci Louise Mazza, OTR 664 S Lincoln St, Denver, CO 80209-4075 Ph: (636) 579-0486 | Miss Traci Louise Mazza, OTR 1657 W Cortland St, Chicago, IL 60622-1119 Ph: (847) 486-4140 |
Brittany Cindy Speron, BRITTANY SPERONMOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000 | |
Kimberly Kopka, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 345 E Superior St, Chicago, IL 60611 Phone: 312-238-1000 | |
Kaitlin Elizabeth Brunsvold, M.S. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2515 N Clark St., Chicago, IL 60614 Phone: 312-227-4000 | |
Mrs. Cathleen Conway Jensen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1740 W Taylor St, C100, Chicago, IL 60612 Phone: 312-996-3700 | |
Jesse Forest Langille, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1509 S Michigan Ave, Chicago, IL 60605 Phone: 312-431-0434 | |
Kathleen Needham, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2515 N Clark St, Chicago, IL 60614 Phone: 312-227-6974 | |
Justine Cabrera, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1921 W Irving Park Rd, Chicago, IL 60613 Phone: 773-687-9442 |