Provider Demographics
NPI:1538438767
Name:TZETZIS, CINDY LOUISE (OTR)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:LOUISE
Last Name:TZETZIS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 NOTTINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:JAMESVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13078-9303
Mailing Address - Country:US
Mailing Address - Phone:315-445-8320
Mailing Address - Fax:
Practice Address - Street 1:901 NOTTINGHAM RD
Practice Address - Street 2:
Practice Address - City:JAMESVILLE
Practice Address - State:NY
Practice Address - Zip Code:13078-9303
Practice Address - Country:US
Practice Address - Phone:315-445-8320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3204225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist