Provider Demographics
NPI:1962707232
Name:ZAPOTECHNE, JESSICA ANN (MA, ATR-BC, LCAT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANN
Last Name:ZAPOTECHNE
Suffix:
Gender:F
Credentials:MA, ATR-BC, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:373 BROADWAY
Mailing Address - Street 2:4TH FLOOR, ROOM 15
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-3926
Mailing Address - Country:US
Mailing Address - Phone:718-928-5644
Mailing Address - Fax:
Practice Address - Street 1:373 BROADWAY
Practice Address - Street 2:4TH FLOOR, ROOM 15
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-3926
Practice Address - Country:US
Practice Address - Phone:718-928-5644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist