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NPI Code Detail

MEDICARE: JAYSON WALTER VANCE ZEIGLER OTR/L

MEDICARE: JAYSON WALTER VANCE ZEIGLER 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 Therapist4030SC
2225X00000XOccupational Therapist31006104AIN

General Provider Information

NPI Number : 1841543006
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYSON WALTER VANCE ZEIGLER OTR/L
Provider Business Mailing Address
First Line : 2014 BEES FERRY RD
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-6603
Country : US
Telephone Number : 843-556-1070
Fax Number : 843-556-6742
Provider Business Practice Location Address
First Line : 6635 E 21ST ST STE 100
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-2252
Country : US
Telephone Number : 317-608-2824
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2012
Last Update Date : 06/10/2024

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Directions to “ JAYSON WALTER VANCE ZEIGLER OTR/L” Practice Location

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