| Miss Marissa Ann Dastice, MOT, OTR/L | |
|
2210 Fountain Square Dr, Lombard, IL 60148-5609 | |
| (630) 953-8990 | |
| Not Available |
| Full Name | Miss Marissa Ann Dastice |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2210 Fountain Square Dr, Lombard, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750853560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Comprehensive Therapeutics Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20140422000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Marissa Ann Dastice, MOT, OTR/L 21w005 Hampton Ln, Lombard, IL 60148-5177 Ph: () - | Miss Marissa Ann Dastice, MOT, OTR/L 2210 Fountain Square Dr, Lombard, IL 60148-5609 Ph: (630) 953-8990 |
Mrs. Marlene B Perez, OTR/L, CHT, WCC Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1801 S Highland Ave Ste L10, Lombard, IL 60148 Phone: 630-967-2000 Fax: 630-261-6901 | |
Kate E Rumel, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1801 S Highland Ave Ste L10, Lombard, IL 60148 Phone: 630-967-2000 Fax: 630-261-6901 | |
Madelyn Ann Tepe, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 S Finley Rd, Lombard, IL 60148 Phone: 630-495-4000 | |
Elizabeth Irene Sucharski, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 S Finley Rd, Lombard, IL 60148 Phone: 630-691-4077 | |
Christina Noelle Goughenour, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 S Finley Rd, Lombard, IL 60148 Phone: 630-495-4000 | |
Eva H Mccormick, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 621 S Park Rd, Lombard, IL 60148 Phone: 630-620-4028 | |
Eun J Heo, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2400 S Finley Rd, Lombard, IL 60148 Phone: 630-691-4077 |