Provider Demographics
NPI:1376855353
Name:ZOLNA, ROCHELLE ANNE (OTR)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:ANNE
Last Name:ZOLNA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16735 SHELDON RD APT A
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95030-4181
Mailing Address - Country:US
Mailing Address - Phone:408-402-2071
Mailing Address - Fax:
Practice Address - Street 1:16735 SHELDON RD APT A
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95030-4181
Practice Address - Country:US
Practice Address - Phone:408-402-2071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-07
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3865225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist