Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225CA2400X | Assistive Technology Practitioner | ||
N | 225XP0200X | Occupational Therapist - Pediatrics | 106456 | TX |
NPI | 1679623961 |
---|---|
Provider Name | Mrs. Susan Ann Zapf |
First Address | Friendswood, TX 77546-5847 |
Second Address | Houston, TX 77058-2649 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8T2091 | BLUE CROSS PROVIDER NUMBE (01) | TX |