Mrs Melissa Ann Defazio, OT/L | |
285 Stratford Ln, Xenia, OH 45385-8961 | |
(937) 372-2291 | |
Not Available |
Full Name | Mrs Melissa Ann Defazio |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 285 Stratford Ln, Xenia, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821394966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT2101 (Ohio) | Primary |
Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20160728001716 |
Mailing Address | Practice Location Address |
---|---|
Mrs Melissa Ann Defazio, OT/L 285 Stratford Ln, Xenia, OH 45385-8961 Ph: (937) 372-2291 | Mrs Melissa Ann Defazio, OT/L 285 Stratford Ln, Xenia, OH 45385-8961 Ph: (937) 372-2291 |
Emily Block Hanna, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Edison Blvd, Xenia, OH 45385 Phone: 937-562-9706 | |
Kathryn Elaine Bannister, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1058 Old Springfield Pike, Xenia, OH 45385 Phone: 937-372-3321 | |
Braylie Mckenna Wells, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Edison Blvd, Xenia, OH 45385 Phone: 937-372-7635 | |
Kuldip Wright, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1728 Dayton Xenia Rd, Xenia, OH 45385 Phone: 937-458-2300 | |
Ms. Shawn Elizabeth Slagel, M.S. OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Dayton Xenia Rd, Greenwood Manor, Xenia, OH 45385 Phone: 937-562-7550 |