Provider Demographics
NPI:1073938015
Name:ZABORSKY-AVILES, CAROL DIANE (OTR)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:DIANE
Last Name:ZABORSKY-AVILES
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:DIANE
Other - Last Name:ZABORSKY-AVILES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:351 FAIRGREEN PL
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-5205
Mailing Address - Country:US
Mailing Address - Phone:850-525-2420
Mailing Address - Fax:
Practice Address - Street 1:351 FAIRGREEN PL
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-5205
Practice Address - Country:US
Practice Address - Phone:850-525-2420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT13914225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist