Healthcare Provider Details

I. General information

NPI: 1477184190
Provider Name (Legal Business Name): ZANDER OCCUPATIONAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2020
Last Update Date: 01/31/2020
Certification Date: 01/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 BENMAR DR STE 3020
HOUSTON TX
77060-3171
US

IV. Provider business mailing address

8127 BRINKWORTH LN
HOUSTON TX
77070-3201
US

V. Phone/Fax

Practice location:
  • Phone: 832-328-5994
  • Fax: 832-328-5403
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225XL0004X
TaxonomyLow Vision Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. DANESE ELAYNE ZANDER
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR
Phone: 713-962-7240