Provider Demographics
NPI:1255714028
Name:ZAMARRIPA, JONATHAN XAVIER I (MOT, OTR)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:XAVIER
Last Name:ZAMARRIPA
Suffix:I
Gender:M
Credentials:MOT, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 HOMERIC DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-2213
Mailing Address - Country:US
Mailing Address - Phone:210-800-2407
Mailing Address - Fax:
Practice Address - Street 1:1007 HOMERIC DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-2213
Practice Address - Country:US
Practice Address - Phone:210-800-2407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-29
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX327446225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist