Provider Demographics
NPI:1184217937
Name:ZUBIK, DOUGLAS RAYMOND (OTR/L)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:RAYMOND
Last Name:ZUBIK
Suffix:
Gender:M
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 1:2603 PRINCETON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-4313
Mailing Address - Country:US
Mailing Address - Phone:216-392-0217
Mailing Address - Fax:
Practice Address - Street 1:2603 PRINCETON RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-4313
Practice Address - Country:US
Practice Address - Phone:216-392-0217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-12
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT011039225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist