Healthcare Provider Details

I. General information

NPI: 1134554355
Provider Name (Legal Business Name): CHELSEA LEE MAZIARZ MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2013
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 DOUGLAS PIKE # 200
SMITHFIELD RI
02917-1879
US

IV. Provider business mailing address

78 HILLSIDE RD
CUMBERLAND RI
02864-3206
US

V. Phone/Fax

Practice location:
  • Phone: 401-228-2186
  • Fax: 401-633-6237
Mailing address:
  • Phone: 401-225-7728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT01423
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: