Healthcare Provider Details

I. General information

NPI: 1528922929
Provider Name (Legal Business Name): ZAINAB HUSSAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6191 KRAFT AVE SE
GRAND RAPIDS MI
49512-9396
US

IV. Provider business mailing address

1509 WHISPERING WIND DR
TRACY CA
95377-8271
US

V. Phone/Fax

Practice location:
  • Phone: 209-407-9995
  • Fax:
Mailing address:
  • Phone: 209-407-9995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: