Kristen Dicicco, OT, DOT | |
790 N Estrella Pkwy Ste C, Goodyear, AZ 85338-9290 | |
(602) 765-4348 | |
(623) 233-6567 |
Full Name | Kristen Dicicco |
---|---|
Gender | Female |
Speciality | Occupational Therapy |
Experience | 2 Years |
Location | 790 N Estrella Pkwy Ste C, Goodyear, Arizona |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043945074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTC9339 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dht Hand Therapy Limited Partnership | 0547362691 | 28 |
Provider Name | Arizona Center For Hand Surgery Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972502227 PECOS PAC ID: 4880585603 Enrollment ID: O20040322001660 |
Provider Name | Dht Hand Therapy Limited Partnership |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629137997 PECOS PAC ID: 0547362691 Enrollment ID: O20070221000195 |
Mailing Address | Practice Location Address |
---|---|
Kristen Dicicco, OT, DOT 300 W Clarendon Ave Ste 285, Phoenix, AZ 85013-3474 Ph: (602) 279-6905 | Kristen Dicicco, OT, DOT 790 N Estrella Pkwy Ste C, Goodyear, AZ 85338-9290 Ph: (602) 765-4348 |
Nicole Hernandez, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 13481 W Mcdowell Rd Ste 300, Goodyear, AZ 85395 Phone: 480-244-3651 | |
Jazz Taylor White, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13385 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-986-5110 | |
Mr. Thomas James Stevens, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14557 W Indian School Rd, Goodyear, AZ 85395 Phone: 623-242-6908 | |
Candace B Ortiz, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13851 W La Mar Blvd Ste D, Goodyear, AZ 85338 Phone: 623-399-6159 Fax: 623-399-6416 | |
Dr. Sara Murray Cloar, OTD Occupational Therapist Medicare: Medicare Enrolled Practice Location: 13385 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-986-5110 | |
Megan Dzimira, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14557 W Indian School Rd, Goodyear, AZ 85395 Phone: 623-229-7808 |