MEDICARE: THE OT ZONE

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

General Provider Information

NPI Number	:	1841012481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE OT ZONE

Provider Business Mailing Address
First Line	:	7179 PINTAIL DR
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92011-5046
Country	:	US
Telephone Number	:	949-861-1328
Fax Number	:	619-704-0277

Provider Business Practice Location Address
First Line	:	1740 LA COSTA MEADOWS DR STE 145
Second Line	:
City	:	SAN MARCOS
State	:	CA
Zip	:	92078-5199
Country	:	US
Telephone Number	:	949-861-1365
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS DIRECTOR
Name	:	MR. DALE LESLIE WINTERSTEIN
Credential	:
Telephone Number	:	949-861-1328

Provider Enumeration Date	:	10/25/2024
Last Update Date	:	10/25/2024

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Directions to “THE OT ZONE ” Practice Location

Language	Start Address	Practice Location

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