Individual
MYA ZAVALETA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1416 GERANIUM ST NW, WASHINGTON, DC 20012-1518
(202) 247-7766
Mailing address
1416 GERANIUM ST NW, WASHINGTON, DC 20012-1518
(202) 247-7766
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010000337
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000337
OCCUPATIONAL THERAPY
—
Enumeration date
03/25/2021
Last updated
03/25/2021
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