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NPI Code Detail

MEDICARE: CHERI ANN MAZZIOTTA

MEDICARE: CHERI ANN MAZZIOTTA
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
1225X00000XOccupational Therapist112607TX

General Provider Information

NPI Number : 1427538438
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERI ANN MAZZIOTTA
Provider Business Mailing Address
First Line : 2244 BRINKER RD
Second Line :
City : DENTON
State : TX
Zip : 76208-6120
Country : US
Telephone Number : 940-320-6300
Fax Number :
Provider Business Practice Location Address
First Line : 2244 BRINKER RD
Second Line :
City : DENTON
State : TX
Zip : 76208-6120
Country : US
Telephone Number : 940-320-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2018
Last Update Date : 08/19/2018

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Directions to “ CHERI ANN MAZZIOTTA ” Practice Location

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