Provider Demographics
NPI:1912246596
Name:ZIELINSKI, SARA MARIE (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:MARIE
Last Name:ZIELINSKI
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 1:2456 AJAX ST
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-3947
Mailing Address - Country:US
Mailing Address - Phone:847-217-4686
Mailing Address - Fax:
Practice Address - Street 1:2456 AJAX ST
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-3947
Practice Address - Country:US
Practice Address - Phone:847-217-4686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-03
Last Update Date:2013-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.008745225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist