Provider Demographics
NPI:1922440742
Name:ZITTEL, LYNN (OTR/L)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:ZITTEL
Suffix:
Gender:F
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 1:19155 LAPPACIO ST
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-4547
Mailing Address - Country:US
Mailing Address - Phone:941-716-0393
Mailing Address - Fax:
Practice Address - Street 1:841 VENETIA BAY BLVD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285
Practice Address - Country:UM
Practice Address - Phone:941-716-0393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201005091225X00000X
FLOT19121225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist