MEDICARE: MARISSA JOELLE SCHICK

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	OT23244	FL

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	:	1578293866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISSA JOELLE SCHICK

Provider Business Mailing Address
First Line	:	1028 RAINBOW CT
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34212-5246
Country	:	US
Telephone Number	:	815-557-1903
Fax Number	:

Provider Business Practice Location Address
First Line	:	7365 MERCHANT CT STE 3
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34240-8446
Country	:	US
Telephone Number	:	941-702-2035
Fax Number	:

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

Provider Enumeration Date	:	06/10/2022
Last Update Date	:	06/10/2022

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Directions to “ MARISSA JOELLE SCHICK ” Practice Location

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