Provider Demographics
NPI:1104388388
Name:ZINN, CARI LEE (MA, ATC)
Entity Type:Individual
Prefix:
First Name:CARI
Middle Name:LEE
Last Name:ZINN
Suffix:
Gender:F
Credentials:MA, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 DORAL ST
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-6705
Mailing Address - Country:US
Mailing Address - Phone:909-472-6833
Mailing Address - Fax:
Practice Address - Street 1:501 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-1699
Practice Address - Country:US
Practice Address - Phone:714-220-4040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-04
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer