MEDICARE: MICHAEL WILLIAM ZEGELIEN

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	224Z00000X	Occupational Therapy Assistant	OTA-1543	MS

General Provider Information

NPI Number	:	1689501876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL WILLIAM ZEGELIEN

Provider Business Mailing Address
First Line	:	8023 CURRY RD
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39532-8574
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8023 CURRY RD
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39532-8574
Country	:	US
Telephone Number	:	228-236-5751
Fax Number	:

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

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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