MEDICARE: MRS. CRYSTAL GAIL ZILINSKI MS, OTL

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	225XP0200X	Pediatric Occupational Therapist	46TR00261700	NJ
2	225X00000X	Occupational Therapist	OT25244	FL

General Provider Information

NPI Number	:	1386978625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CRYSTAL GAIL ZILINSKI MS, OTL

Provider Business Mailing Address
First Line	:	2669 ENTERPRISE RD
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8217
Country	:	US
Telephone Number	:	321-233-3534
Fax Number	:

Provider Business Practice Location Address
First Line	:	2669 ENTERPRISE RD
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-8217
Country	:	US
Telephone Number	:	321-233-3534
Fax Number	:

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

Provider Enumeration Date	:	09/18/2009
Last Update Date	:	03/11/2025

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