Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 215552 | TX |
NPI | 1023572898 |
---|---|
Provider Name | Christina Marie Zavala |
First Address | Saginaw, TX 76179-3403 |
Second Address | Saginaw, TX 76179-3403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2019 |
Last Update Date | 25/01/2019 |