Healthcare Provider Details

I. General information

NPI: 1144128190
Provider Name (Legal Business Name): ISABELLA ZIESMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2026
Last Update Date: 10/29/2026
Certification Date: 10/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1939 MAGUIRE RD STE 107-108
WINDERMERE FL
34786-7942
US

IV. Provider business mailing address

1939 MAGUIRE RD STE 107-108
WINDERMERE FL
34786-7942
US

V. Phone/Fax

Practice location:
  • Phone: 407-473-8005
  • Fax: 321-236-6160
Mailing address:
  • Phone: 407-473-8005
  • Fax: 321-236-6160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: