MEDICARE: FRANK ZOTTOLA OT

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	010109	NY

General Provider Information

NPI Number	:	1932939592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK ZOTTOLA OT

Provider Business Mailing Address
First Line	:	16 MAYBROOK RD
Second Line	:
City	:	CAMPBELL HALL
State	:	NY
Zip	:	10916-2743
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 VAN DUZER PL
Second Line	:
City	:	WARWICK
State	:	NY
Zip	:	10990-1014
Country	:	US
Telephone Number	:	845-987-5717
Fax Number	:

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

Provider Enumeration Date	:	08/07/2024
Last Update Date	:	08/07/2024

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Directions to “ FRANK ZOTTOLA OT” Practice Location

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