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NPI Code Detail

MEDICARE: SHANNON MARIE ZIGENFUS OT

MEDICARE: SHANNON MARIE ZIGENFUS OT
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 Therapist019081NY

General Provider Information

NPI Number : 1881099828
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON MARIE ZIGENFUS OT
Provider Business Mailing Address
First Line : 1 BETHESDA DR
Second Line :
City : HORNELL
State : NY
Zip : 14843-1048
Country : US
Telephone Number : 607-324-6974
Fax Number : 607-324-6994
Provider Business Practice Location Address
First Line : 1 BETHESDA DR
Second Line :
City : HORNELL
State : NY
Zip : 14843-1048
Country : US
Telephone Number : 607-324-6974
Fax Number : 607-324-6994
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2014
Last Update Date : 11/04/2014

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