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1609029016 NPI number — KRISTIN ZIZUS MCDERMOTT OTR/L

NPI Number: 1609029016
Health Care Provider/Practitioner: KRISTIN ZIZUS MCDERMOTT OTR/L

Information about “1609029016” NPI (KRISTIN ZIZUS MCDERMOTT OTR/L) exists in 1609029016 in HTML format HTML  |  1609029016 in plain Text format TXT  |  1609029016 in PDF (Portable Document Format) PDF  |  1609029016 in an XML format XML  formats.

NPI Number : 1609029016 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1609029016",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCDERMOTT",
    "FirstName": "KRISTIN",
    "MiddleName": "ZIZUS",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MCDERMOTT",
    "OtherFirstName": "KRISTIN",
    "OtherMiddleName": "ZIZUS",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "OTR/L",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "404 BELLAIRE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YORK",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17402-8213",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "717-741-3410",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "404 BELLAIRE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YORK",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17402-8213",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "717-741-3410",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/29/2008",
    "LastUpdateDate": "10/29/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "0C0054870",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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