Provider Demographics
NPI:1487206637
Name:ZAPATA, PATRICIA ANN (PHD CRC)
Entity Type:Individual
Prefix:PROF
First Name:PATRICIA
Middle Name:ANN
Last Name:ZAPATA
Suffix:
Gender:F
Credentials:PHD CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 VASSAR LN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-1936
Mailing Address - Country:US
Mailing Address - Phone:210-473-1905
Mailing Address - Fax:
Practice Address - Street 1:502 W LULLWOOD AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-2657
Practice Address - Country:US
Practice Address - Phone:210-473-1905
Practice Address - Fax:210-375-9641
Is Sole Proprietor?:No
Enumeration Date:2019-07-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL00014344225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor