Healthcare Provider Details

I. General information

NPI: 1083254262
Provider Name (Legal Business Name): TESSA DOBRIN ZAPALAC MSOT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2020
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 EMELINE AVE
SANTA CRUZ CA
95060-1976
US

IV. Provider business mailing address

1400 EMELINE AVE
SANTA CRUZ CA
95060-1976
US

V. Phone/Fax

Practice location:
  • Phone: 318-566-8042
  • Fax:
Mailing address:
  • Phone: 831-566-8042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number27534
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: