Individual
MRS. DIANE MARIE ZAGACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9020 WALL ST, NORTH BERGEN, NJ 07047
(201) 809-2900
Mailing address
9020 WALL ST, NORTH BERGEN, NJ 07047
(201) 809-2900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09048400
NJ
Other
Enumeration date
08/22/2007
Last updated
09/09/2007
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