Provider Demographics
NPI:1144762253
Name:ZHANG, XIAOYAN (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:XIAOYAN
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:XIAOYAN
Other - Middle Name:
Other - Last Name:ZHANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:20689 HILLSDALE RD
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92508-2525
Mailing Address - Country:US
Mailing Address - Phone:951-442-3282
Mailing Address - Fax:
Practice Address - Street 1:20689 HILLSDALE RD
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92508-2525
Practice Address - Country:US
Practice Address - Phone:951-442-3282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11376225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist