Provider Demographics
NPI:1831334093
Name:NAYAL, ARIEL ZAMPAGA (OT)
Entity type:Individual
Prefix:MR
First Name:ARIEL
Middle Name:ZAMPAGA
Last Name:NAYAL
Suffix:
Gender:M
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 W. COMMERCIAL BLVD.
Mailing Address - Street 2:SUITE #116
Mailing Address - City:FT. LAUDERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:33309
Mailing Address - Country:US
Mailing Address - Phone:443-538-0833
Mailing Address - Fax:
Practice Address - Street 1:3272 KAISER DR
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-4555
Practice Address - Country:US
Practice Address - Phone:443-538-0833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-02
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06064225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist