Provider Demographics
NPI:1295359479
Name:ZUBRICKY, CAROLINE SPISAK (OT/L)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:SPISAK
Last Name:ZUBRICKY
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5103 SANGRIA DR
Mailing Address - Street 2:
Mailing Address - City:WEST SALEM
Mailing Address - State:OH
Mailing Address - Zip Code:44287-9142
Mailing Address - Country:US
Mailing Address - Phone:440-463-9286
Mailing Address - Fax:
Practice Address - Street 1:5103 SANGRIA DR
Practice Address - Street 2:
Practice Address - City:WEST SALEM
Practice Address - State:OH
Practice Address - Zip Code:44287-9142
Practice Address - Country:US
Practice Address - Phone:440-463-9286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist