Healthcare Provider Details

I. General information

NPI: 1184937724
Provider Name (Legal Business Name): MARILYN C ZURWASKI OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2010
Last Update Date: 07/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 COURT ST
PLYMOUTH MA
02360-3851
US

IV. Provider business mailing address

208 WAREHAM ST SUITE 213
MIDDLEBORO MA
02346-2828
US

V. Phone/Fax

Practice location:
  • Phone: 508-944-9907
  • Fax:
Mailing address:
  • Phone: 508-944-9907
  • Fax: 508-947-0479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1549
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License Number1549
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number1549
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOT00611
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: