Provider Demographics
NPI:1912126814
Name:ZIMINSKI, MAUREEN JEAN (OTR)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:JEAN
Last Name:ZIMINSKI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 REGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PHILLIPSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01331-9737
Mailing Address - Country:US
Mailing Address - Phone:978-895-6320
Mailing Address - Fax:
Practice Address - Street 1:25 REGWOOD DR
Practice Address - Street 2:
Practice Address - City:PHILLIPSTON
Practice Address - State:MA
Practice Address - Zip Code:01331-9737
Practice Address - Country:US
Practice Address - Phone:978-895-6320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAAH 6821225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist