Provider Demographics
NPI:1891946869
Name:ZELNICK, TAMMY (COTA/L)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:ZELNICK
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 1:136 PLUM CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:PA
Mailing Address - Zip Code:17801-6062
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 COURT ST
Practice Address - Street 2:CIRCLE DRIVE
Practice Address - City:SUNBURY
Practice Address - State:PA
Practice Address - Zip Code:17801-2818
Practice Address - Country:US
Practice Address - Phone:570-286-7121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0P001458L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant