Provider Demographics
NPI:1912394362
Name:ZEGEL, SIMONE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:SIMONE
Middle Name:
Last Name:ZEGEL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13710 70TH AVE
Mailing Address - Street 2:APT 2
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1999
Mailing Address - Country:US
Mailing Address - Phone:516-660-7347
Mailing Address - Fax:
Practice Address - Street 1:13710 70TH AVE
Practice Address - Street 2:APT 2
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-1999
Practice Address - Country:US
Practice Address - Phone:516-660-7347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist