Miss Mari Jane A Ticzon, RPT
Physical Therapist in Webster, Massachusetts
1306032206- Practice location
- 11 Pontiac Ave, Webster, MA 01570-1629
- Phone
- 508-943-3889
- Fax
- —
- Last updated
- September 25, 2007
Mari Jane Academia Ticzon is a Physical Therapist based in Webster, MA. Mari Jane Academia Ticzon practices in Webster, MA and has the professional credentials of RPT. The NPI Number for Mari Jane Academia Ticzon is 1306032206 and holds a License No. 17763 (MA). The current practice location address for Mari Jane Academia Ticzon is 11 Pontiac Ave, Webster, MA 01570-1629 and can be reached out via phone at 508-943-3889.
Provider Profile Details
- NPI Number
- 1306032206
- Provider Name
- Mari Jane Academia Ticzon
- Credential
- RPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11 Pontiac Ave, Webster, MA 01570-1629
- Phone Number
- 508-943-3889
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 25, 2007
- Last Update Date
- September 25, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Pontiac Ave
Webster, MA 01570-1629 - City
- Webster
- State
- Massachusetts
- Zip
- 01570-1629
- Phone Number
- 508-943-3889
Provider Business Mailing Address Details
- Address
- 3201 W Commercial Blvd
Suite 116
Ft Lauderdale, FL 33309-3440 - City
- Ft Lauderdale
- State
- FL
- Zip
- 33309-3440
- Phone Number
- 954-739-4247
- Fax Number
- 954-332-4340
License Information
- License Number
- 17763
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Miss Mari Jane A Ticzon, RPT?
The NPI number of Miss Mari Jane A Ticzon, RPT is 1306032206. It was assigned on September 25, 2007 and is currently active in the NPPES registry.
What is the specialty of Miss Mari Jane A Ticzon, RPT?
Miss Mari Jane A Ticzon, RPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 17763.
Where does Miss Mari Jane A Ticzon, RPT practice?
The practice location is 11 Pontiac Ave, Webster, MA 01570-1629. The office can be reached at 508-943-3889 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306032206 directly on the NPPES registry website.