Provider Demographics
NPI:1942039524
Name:ZARAGOZA, STEPHANIE DANNA I (COTA/L)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:DANNA
Last Name:ZARAGOZA
Suffix:I
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:19426 DAWN CANYON RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-6094
Mailing Address - Country:US
Mailing Address - Phone:832-817-1366
Mailing Address - Fax:
Practice Address - Street 1:19426 DAWN CANYON RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-6094
Practice Address - Country:US
Practice Address - Phone:832-817-1366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX217948224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant