Provider Demographics
NPI:1285306696
Name:ZIOLKOWSKI, JOANNE (CPED)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:ZIOLKOWSKI
Suffix:
Gender:F
Credentials:CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5475 DEERFIELD BLVD
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-2513
Mailing Address - Country:US
Mailing Address - Phone:513-777-0290
Mailing Address - Fax:
Practice Address - Street 1:5475 DEERFIELD BLVD
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-2513
Practice Address - Country:US
Practice Address - Phone:513-777-0290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH140224L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist