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NPI Code Detail

MEDICARE: MRS. CINDY A DEKOCK ZANDBERGEN

MEDICARE: MRS. CINDY A DEKOCK ZANDBERGEN
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
1225XP0200XPediatric Occupational Therapist2763AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225156193
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CINDY A DEKOCK ZANDBERGEN
Provider Business Mailing Address
First Line : 11093 E HEDGEHOG PL
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85262-7412
Country : US
Telephone Number : 480-419-3491
Fax Number :
Provider Business Practice Location Address
First Line : 20402 N 15TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-3636
Country : US
Telephone Number : 623-445-4952
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/09/2007

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