Healthcare Provider Details

I. General information

NPI: 1386978625
Provider Name (Legal Business Name): CRYSTAL GAIL ZILINSKI MS, OTL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2009
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2669 ENTERPRISE RD
ORANGE CITY FL
32763-8217
US

IV. Provider business mailing address

2669 ENTERPRISE RD
ORANGE CITY FL
32763-8217
US

V. Phone/Fax

Practice location:
  • Phone: 321-233-3534
  • Fax:
Mailing address:
  • Phone: 321-233-3534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number46TR00261700
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT25244
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: