Healthcare Provider Details

I. General information

NPI: 1376855353
Provider Name (Legal Business Name): ROCHELLE ANNE ZOLNA OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2010
Last Update Date: 07/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16735 SHELDON RD APT A
LOS GATOS CA
95030-4181
US

IV. Provider business mailing address

16735 SHELDON RD APT A
LOS GATOS CA
95030-4181
US

V. Phone/Fax

Practice location:
  • Phone: 408-402-2071
  • Fax:
Mailing address:
  • Phone: 408-402-2071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number3865
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: