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NPI Code Detail

MEDICARE: MARGERY W ZAJAC

MEDICARE: MARGERY W ZAJAC
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 Assistant000808CT

General Provider Information

NPI Number : 1679782783
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGERY W ZAJAC
Provider Business Mailing Address
First Line : 695 MAPLE ST
Second Line :
City : WETHERSFIELD
State : CT
Zip : 06109-4141
Country : US
Telephone Number : 860-436-6587
Fax Number :
Provider Business Practice Location Address
First Line : 1060 MAIN ST
Second Line :
City : SOUTH WINDSOR
State : CT
Zip : 06074-2407
Country : US
Telephone Number : 860-289-7771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 07/08/2007

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Directions to “ MARGERY W ZAJAC ” Practice Location

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