Provider Demographics
NPI:1063877033
Name:MARAZITI, DENISE (OTR)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:
Last Name:MARAZITI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-2912
Mailing Address - Country:US
Mailing Address - Phone:973-600-9116
Mailing Address - Fax:
Practice Address - Street 1:65 BROOKSIDE DR
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-2912
Practice Address - Country:US
Practice Address - Phone:973-600-9116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-17
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00067900225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist