Provider Demographics
NPI:1285254946
Name:ZIMORINO, KATELYN JANE (OTR/L)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:JANE
Last Name:ZIMORINO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 WALNUT ST UNIT 1309
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64106-4207
Mailing Address - Country:US
Mailing Address - Phone:602-339-9379
Mailing Address - Fax:
Practice Address - Street 1:2220 N 59TH ST STE 114
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66104-2821
Practice Address - Country:US
Practice Address - Phone:913-302-0861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-23
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty