Provider Demographics
NPI:1831324086
Name:ZYGMUNT, JANICE (MS OTR/L)
Entity type:Individual
Prefix:MISS
First Name:JANICE
Middle Name:
Last Name:ZYGMUNT
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 LARSON DR
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7381
Mailing Address - Country:US
Mailing Address - Phone:914-954-9957
Mailing Address - Fax:
Practice Address - Street 1:106 HUNTVILLE RD
Practice Address - Street 2:
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-1913
Practice Address - Country:US
Practice Address - Phone:914-954-9957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013423-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics