Maizie Jo Zamlowski, OTR/L

Individual provider Active NPI Occupational Therapist · Canastota, NY

NPI 1699298448 · NPPES record last updated Jul 24, 2017

Key facts

NPI
1699298448
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
021335-1 (NY)
Practice address
129 Madison Ave
Canastota, NY 13032-4283
Phone
(315) 413-9160
NPI assigned
Jul 24, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
021335-1NYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225X00000X 021335-1 NY Yes

Addresses

Primary practice location

129 Madison Ave
Canastota, NY 13032-4283

Mailing address

129 Madison Ave
Canastota, NY 13032-4283
Phone (315) 413-9160

Other providers in Canastota, NY

All providers in Canastota, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.