Provider Demographics
NPI:1154573194
Name:ZAZAC, DIANNE KAYE (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:DIANNE
Middle Name:KAYE
Last Name:ZAZAC
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 1:505 WEYMAN RD
Mailing Address - Street 2:HCR MANOR CARE WHITEHALL
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236
Mailing Address - Country:US
Mailing Address - Phone:412-884-3500
Mailing Address - Fax:412-884-3700
Practice Address - Street 1:505 WEYMAN RD
Practice Address - Street 2:HCR MANOR CARE WHITEHALL
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236
Practice Address - Country:US
Practice Address - Phone:412-884-3500
Practice Address - Fax:412-884-3700
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP001941L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant