Provider Demographics
NPI:1407285588
Name:ZUSKIN, STACEY BETH (MS,OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:STACEY
Middle Name:BETH
Last Name:ZUSKIN
Suffix:
Gender:F
Credentials:MS,OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:228 CHANTREY RD
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-2620
Mailing Address - Country:US
Mailing Address - Phone:443-858-8683
Mailing Address - Fax:
Practice Address - Street 1:6916 N CHARLES ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-3718
Practice Address - Country:US
Practice Address - Phone:410-451-5700
Practice Address - Fax:410-451-5703
Is Sole Proprietor?:No
Enumeration Date:2013-11-08
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07967225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics