Individual
SAMANTHA ZAYKOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2940 E BANNER GATEWAY DR STE 425, GILBERT, AZ 85234-2177
(480) 543-2000
Mailing address
3435 N SAGE ST, KINGMAN, AZ 86401-3861
(570) 592-1370
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-006292
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/29/2014
Last updated
07/26/2019
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