MEDICARE: MRS. MARCIA JO MACRI OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OC001036L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497916225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARCIA JO MACRI OTR/L

Provider Business Mailing Address
First Line	:	PO BOX 1133
Second Line	:
City	:	MARS
State	:	PA
Zip	:	16046-1133
Country	:	US
Telephone Number	:	724-651-3299
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 S MERCER ST
Second Line	:	SUITE 306
City	:	NEW CASTLE
State	:	PA
Zip	:	16101-3849
Country	:	US
Telephone Number	:	724-658-8515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	07/26/2024

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