Individual provider · Type 1 NPI

Marc Dominic Bazzanella

Occupational Therapist · Madison, WI

NPI number 1144516188 Active

Practice location

4502 Milwaukee St
Madison, WI 53714-2133

Mailing address

29 Pleasant Oak Ct
Oregon, WI 53575-3225

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5218-26 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1144516188

Marc Dominic Bazzanella's National Provider Identifier is 1144516188, issued on Jun 28, 2011. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Madison, WI. The record was last updated on Jul 30, 2012.