Healthcare Provider Details

I. General information

NPI: 1093089781
Provider Name (Legal Business Name): KATHARINE ELIZABETH ZOOK OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2012
Last Update Date: 03/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 HIGHBRIDGE XING
ASHEVILLE NC
28803-3496
US

IV. Provider business mailing address

305 SPRINGFIELD CT
FLETCHER NC
28732-9268
US

V. Phone/Fax

Practice location:
  • Phone: 828-274-1531
  • Fax:
Mailing address:
  • Phone: 828-736-3020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number7634
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: