Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stanislav Zinkovsky, OTR, PA-C

Individual provider Occupational Therapist · NPI 1689706525

Stanislav Zinkovsky, OTR, PA-C is an Occupational Therapist in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

22972 Lahser Rd
Southfield, MI 48033-4408
Phone: (248) 353-0079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005165 (MI)
Occupational Therapist Taxonomy 225X00000X · Licence 520106097 (MI)

Record details

NPI number1689706525
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR , PA-C
Sole proprietorYes
NPI enumeratedMarch 9, 2007
Last updated in NPPESOctober 15, 2015

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