MEDICARE: MRS. MAUREEN V. ZANONI OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OC010073	PA
2	225X00000X	Occupational Therapist	46TR00427500	NJ

General Provider Information

NPI Number	:	1124140611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MAUREEN V. ZANONI OT

Provider Business Mailing Address
First Line	:	4005 SAXONY DR
Second Line	:
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-1898
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1415 MARLTON PIKE E
Second Line	:	SUITE 103
City	:	CHERRY HILL
State	:	NJ
Zip	:	08034-2210
Country	:	US
Telephone Number	:	800-670-3893
Fax Number	:	800-905-4690

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	07/08/2007

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