SearchIllinois224Z00000X

Marissa Gatza, C.O.T.A

NPI 1922457118 · on the registry since 2016

Practice

Address
1401 E 12th St
Mendota, IL 61342
Phone
(815) 539-1620
Fax
(815) 538-5516
Organisation at this address
National Pain Clinic, Llc
Mendota Community Hospital
Mendota Community Hospital
Mendota Community Hospital
Mendota Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois