Individual
JACLYN MAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(254) 288-8000
Mailing address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10510
NC
Other
Enumeration date
12/11/2017
Last updated
03/26/2025
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