MEDICARE: ALISSA MICHELLE ZEMERING ATR,LCAT

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	221700000X	Art Therapist	001280	NY

General Provider Information

NPI Number	:	1750012795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISSA MICHELLE ZEMERING ATR,LCAT

Provider Business Mailing Address
First Line	:	2065 S SUZANNE CIR
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-2736
Country	:	US
Telephone Number	:	516-924-2694
Fax Number	:

Provider Business Practice Location Address
First Line	:	2065 S SUZANNE CIR
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-2736
Country	:	US
Telephone Number	:	516-924-2694
Fax Number	:

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

Provider Enumeration Date	:	06/21/2022
Last Update Date	:	06/21/2022

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