Miss Mari Jane Academia Ticzon, RPT is a
Physical Therapist based in Webster, Massachusetts. Miss Mari Jane Academia Ticzon is licensed to practice in Massachusetts (license number 17763) and her current practice location is
11 Pontiac Ave, Webster, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 943-3889.
NPI number for Miss Mari Jane Academia Ticzon is 1306032206 and her current mailing address is 3201 W Commercial Blvd, Suite 116, Ft Lauderdale, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306032206.
Healthcare Provider's Profile
Full Name | Miss Mari Jane Academia Ticzon |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 11 Pontiac Ave, Webster, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306032206
- Provider Enumeration Date: 09/25/2007
- Last Update Date: 09/25/2007
Medical Identifiers
Medical identifiers for Miss Mari Jane Academia Ticzon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306032206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 17763 (Massachusetts) | Primary |
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. Miss Mari Jane Academia Ticzon 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 |
Miss Mari Jane Academia Ticzon, RPT 3201 W Commercial Blvd, Suite 116, Ft Lauderdale, FL 33309-3440 Ph: (954) 739-4247 | Miss Mari Jane Academia Ticzon, RPT 11 Pontiac Ave, Webster, MA 01570-1629 Ph: (508) 943-3889 |
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