Provider Demographics
NPI:1023285475
Name:ZIONCE, MALINDA MARIE
Entity type:Individual
Prefix:MS
First Name:MALINDA
Middle Name:MARIE
Last Name:ZIONCE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17123 MACARTHUR DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72118-1541
Mailing Address - Country:US
Mailing Address - Phone:501-514-5205
Mailing Address - Fax:
Practice Address - Street 1:17123 MAC ARTHUR DR
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72118-1541
Practice Address - Country:US
Practice Address - Phone:501-514-5205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR1565225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist