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NPI Code Detail

MEDICARE: AMY B ZEMBO

MEDICARE: AMY B ZEMBO
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
1224Z00000XOccupational Therapy Assistant1680-27WI

General Provider Information

NPI Number : 1255676433
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY B ZEMBO
Provider Business Mailing Address
First Line : 8274 E SAN RD
Second Line :
City : SOUTH RANGE
State : WI
Zip : 54874-8621
Country : US
Telephone Number : 715-398-3523
Fax Number :
Provider Business Practice Location Address
First Line : 8274 E SAN RD
Second Line :
City : SOUTH RANGE
State : WI
Zip : 54874-8621
Country : US
Telephone Number : 715-398-3523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2012
Last Update Date : 11/29/2012

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Directions to “ AMY B ZEMBO ” Practice Location

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