Provider Demographics
NPI:1740874403
Name:SPIGUZZA, MAURA ANN (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:MAURA
Middle Name:ANN
Last Name:SPIGUZZA
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MISS
Other - First Name:MAURA
Other - Middle Name:ANN
Other - Last Name:MIELNICKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:20141 S PINE HILL RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-8379
Mailing Address - Country:US
Mailing Address - Phone:708-822-4787
Mailing Address - Fax:
Practice Address - Street 1:10501 EMILIE LN
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-8805
Practice Address - Country:US
Practice Address - Phone:708-326-2692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-23
Last Update Date:2024-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant