Mr. Marc Dominic Bazzanella
Mr. Marc Dominic Bazzanella is an Occupational Therapist in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.
- Licensed in
- WI
- In the registry since
- 2011
Practice location Address checks out
4502 Milwaukee StMadison, WI 53714-2133
Phone: (608) 249-2137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 5218-26 (WI) |
|---|
Record details
| NPI number | 1144516188 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 28, 2011 |
| Last updated in NPPES | July 30, 2012 |
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