Provider Demographics
NPI:1023337888
Name:WARREN, ZENA Y (OTR/L)
Entity type:Individual
Prefix:
First Name:ZENA
Middle Name:Y
Last Name:WARREN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9200 BASIL CT
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5309
Mailing Address - Country:US
Mailing Address - Phone:202-629-8653
Mailing Address - Fax:
Practice Address - Street 1:9200 BASIL CT
Practice Address - Street 2:SUITE 205
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-5309
Practice Address - Country:US
Practice Address - Phone:240-764-6950
Practice Address - Fax:240-764-7350
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05876225X00000X
DCOT010000436225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist