Provider Demographics
NPI:1992084057
Name:JARZYNKA, CASSANDRA (OTD, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:
Last Name:JARZYNKA
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 SIOUX LN
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-6778
Mailing Address - Country:US
Mailing Address - Phone:402-750-8895
Mailing Address - Fax:
Practice Address - Street 1:921 SIOUX LN
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6778
Practice Address - Country:US
Practice Address - Phone:402-750-8895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2012-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1552225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist