Provider Demographics
NPI:1275238297
Name:ZBIEGIEN, SAMANTHA FRANCES (COTA/L)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:FRANCES
Last Name:ZBIEGIEN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1241 WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-1625
Mailing Address - Country:US
Mailing Address - Phone:440-739-0643
Mailing Address - Fax:
Practice Address - Street 1:THE HEIGHTS REHABILITATION AND HEALTHCARE
Practice Address - Street 2:2801 E ROYALTON RD
Practice Address - City:BROADVIEW HTS
Practice Address - State:OH
Practice Address - Zip Code:44147
Practice Address - Country:US
Practice Address - Phone:440-526-6770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH008392224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant