Dianne Jezak, OTR/L is a
Occupational Therapist based in Windham, New Hampshire. Dianne Jezak is licensed to practice in New Hampshire (license number 1303) and her current practice location is
16 Londonderry Rd, Windham, New Hampshire. She can be reached at her office (for appointments etc.) via phone at
(603) 434-8015.
NPI number for Dianne Jezak is 1881138519 and her current mailing address is 16 Londonderry Rd, Windham, New Hampshire. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881138519.
Healthcare Provider's Profile
| Full Name | Dianne Jezak |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 16 Londonderry Rd, Windham, New Hampshire |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881138519
- Provider Enumeration Date: 12/14/2016
- Last Update Date: 12/14/2016
Medical Identifiers
Medical identifiers for Dianne Jezak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881138519 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225700000X | Massage Therapist | 1551M (New Hampshire) | Secondary |
| 225X00000X | Occupational Therapist | 1303 (New Hampshire) | Primary |
| 225X00000X | Occupational Therapist | 3854 (Massachusetts) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dianne Jezak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dianne Jezak, OTR/L 16 Londonderry Rd, Windham, NH 03087-1651 Ph: (603) 434-8015 | Dianne Jezak, OTR/L 16 Londonderry Rd, Windham, NH 03087-1651 Ph: (603) 434-8015 |
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