Individual
MR. SCOTT DEZIECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
750 TYLER ST, PITTSFIELD, MA 01201-4319
(413) 443-4135
Mailing address
346 LENOX AVE, PITTSFIELD, MA 01201-2642
(413) 445-5234
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MA
Other
Enumeration date
07/31/2006
Last updated
07/27/2007
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