Healthcare Provider Details

I. General information

NPI: 1437335643
Provider Name (Legal Business Name): SARAH ZINKEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2008
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3021 HARBOR LN N STE 120
PLYMOUTH MN
55447-5141
US

IV. Provider business mailing address

17985 69TH PL N
MAPLE GROVE MN
55311-2966
US

V. Phone/Fax

Practice location:
  • Phone: 651-773-0354
  • Fax: 651-773-0371
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number103540
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: