MEDICARE: JESSENIA ZAPATA-PALMER OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT10211	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639245921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSENIA ZAPATA-PALMER OTR/L

Provider Business Mailing Address
First Line	:	4490 MARSH HARBOR DR
Second Line	:
City	:	TAVARES
State	:	FL
Zip	:	32778-4752
Country	:	US
Telephone Number	:	407-461-0477
Fax Number	:

Provider Business Practice Location Address
First Line	:	630 S DILLARD ST
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-3903
Country	:	US
Telephone Number	:	407-905-0531
Fax Number	:	407-905-0532

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	01/21/2011

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