Individual
ZACHARY KINZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
4560 SE INTERNATIONAL WAY, CONSONUS REHAB SERVICES, MILWAUKIE, OR 97222
(971) 206-5140
(971) 206-5209
Mailing address
4560 SE INTERNATIONAL WAY, MILWAUKIE, OR 97222
(971) 206-5140
(971) 206-5209
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1060073
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119133
OTIP # MEDICARE PART B
OR
01
—
182824
OMAP #
OR
Enumeration date
09/28/2006
Last updated
07/08/2007
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