MEDICARE: STEVEN ZAWISTOWSKI O.T.

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	225X00000X	Occupational Therapist	13548	NC
2	225X00000X	Occupational Therapist	46TR00299800	NJ

General Provider Information

NPI Number	:	1699784009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN ZAWISTOWSKI O.T.

Provider Business Mailing Address
First Line	:	3001 EDWARDS MILL RD STE 200
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-5243
Country	:	US
Telephone Number	:	919-781-4060
Fax Number	:	919-781-5246

Provider Business Practice Location Address
First Line	:	11200 GALLERIA AVE STE 101
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27614-8137
Country	:	US
Telephone Number	:	919-781-4060
Fax Number	:	919-781-5246

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

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	03/27/2026

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