Provider Demographics
NPI:1730429853
Name:ZEIGLER, VERONICA LYNN (COTA/L)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:LYNN
Last Name:ZEIGLER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9502 MEADOW VALLEY PL UNIT 201
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-3971
Mailing Address - Country:US
Mailing Address - Phone:502-416-7242
Mailing Address - Fax:
Practice Address - Street 1:9502 MEADOW VALLEY PL UNIT 201
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40291-3971
Practice Address - Country:US
Practice Address - Phone:502-416-7242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYA5195224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant