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NPI Code Detail

MEDICARE: KAITLYN ZIELASKO

MEDICARE:   KAITLYN  ZIELASKO
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 Therapist

General Provider Information

NPI Number : 1962789925
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN ZIELASKO
Provider Business Mailing Address
First Line : 8395 154TH CT N
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33418-7368
Country : US
Telephone Number : 516-661-3709
Fax Number :
Provider Business Practice Location Address
First Line : 6613 PAUL MAR DR
Second Line :
City : LAKE WORTH
State : FL
Zip : 33462-3939
Country : US
Telephone Number : 516-661-3709
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2011
Last Update Date : 02/05/2019

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Directions to “ KAITLYN ZIELASKO ” Practice Location

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