Provider Demographics
NPI:1013168640
Name:ZINTER, JOAN MARIE (OTR/L, CPO)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:MARIE
Last Name:ZINTER
Suffix:
Gender:F
Credentials:OTR/L, CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3463 ROUTE 28A
Mailing Address - Street 2:
Mailing Address - City:WEST SHOKAN
Mailing Address - State:NY
Mailing Address - Zip Code:12494
Mailing Address - Country:US
Mailing Address - Phone:845-657-7334
Mailing Address - Fax:845-657-7245
Practice Address - Street 1:3463 ROUTE 28A
Practice Address - Street 2:
Practice Address - City:WEST SHOKAN
Practice Address - State:NY
Practice Address - Zip Code:12494
Practice Address - Country:US
Practice Address - Phone:845-657-7334
Practice Address - Fax:845-657-7245
Is Sole Proprietor?:No
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CPO-01564222Z00000X, 224P00000X
NY005416-1225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist