Provider Demographics
NPI:1093089781
Name:ZOOK, KATHARINE ELIZABETH (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:KATHARINE
Middle Name:ELIZABETH
Last Name:ZOOK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 SPRINGFIELD CT
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-9268
Mailing Address - Country:US
Mailing Address - Phone:828-736-3020
Mailing Address - Fax:
Practice Address - Street 1:29 HIGHBRIDGE XING
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-3496
Practice Address - Country:US
Practice Address - Phone:828-274-1531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-28
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7634225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7634OtherNORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY