Healthcare Provider Details

I. General information

NPI: 1639201163
Provider Name (Legal Business Name): MARY LOUISE ZURLINDEN O.T.R.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

238 RED FAWN RD
BREWSTER MA
02631-2062
US

IV. Provider business mailing address

238 RED FAWN RD
BREWSTER MA
02631-2062
US

V. Phone/Fax

Practice location:
  • Phone: 508-896-2012
  • Fax:
Mailing address:
  • Phone: 508-896-2012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number1607
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: