Provider Demographics
NPI:1194032060
Name:GOSIENGFIAO, ZARAH (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ZARAH
Middle Name:
Last Name:GOSIENGFIAO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 CAMINO RAMON
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583
Mailing Address - Country:US
Mailing Address - Phone:925-830-5133
Mailing Address - Fax:925-830-5135
Practice Address - Street 1:2208 CAMINO RAMON
Practice Address - Street 2:SUITE B
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583
Practice Address - Country:US
Practice Address - Phone:925-830-5133
Practice Address - Fax:925-830-5135
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT505225XP0200X
CA505225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics