Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK DEFAZIO, PTA
ActiveMARK DEFAZIO, PTA is a Occupational Therapist healthcare provider located in BOSTON, Massachusetts. NPI 1619503125 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BOSTON, MA
Registration Details
- NPI Number
- 1619503125
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2020 (6.4527140125755 yrs)
- Last Updated
- Mar 16, 2020
- License
-
9532 (MA)
Practice Information
- Address
-
185 HARRISON AVEBOSTON, MA, 021111804Browse MA providers · Browse ZIP 02111
- Phone
- 6176365632
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in BOSTON, MA
| Name | Credential | NPI |
|---|---|---|
| PAMELA JEAN BUREAU MORRIS | PTA | 1932271160 |
| JOHN-ROBERT MANUEL LOPES | P.T.A. | 1851433395 |
| MISS JULIE A HANNON | PTA | 1720114929 |
| KATHLEEN HARNEY | PTA | 1215060280 |
| MARY ROSEN | PT ASSISTANT | 1376767970 |
| STEPHANIE WERTZ | PTA | 1114144607 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.