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NPI Code Detail

MEDICARE: JENNIFER ZACK MS, OTR/L

MEDICARE: JENNIFER ZACK MS, OTR/L
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
1225X00000XOccupational Therapist10308MA

General Provider Information

NPI Number : 1457847519
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ZACK MS, OTR/L
Provider Business Mailing Address
First Line : 46 W CENTRAL ST
Second Line :
City : NATICK
State : MA
Zip : 01760-4446
Country : US
Telephone Number : 207-831-0302
Fax Number :
Provider Business Practice Location Address
First Line : 10 TECH CIR
Second Line :
City : NATICK
State : MA
Zip : 01760-1029
Country : US
Telephone Number : 347-782-3665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2018
Last Update Date : 03/03/2026

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