Individual
AMBER DAWN ZIDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4208 RETAMA CIR, VICTORIA, TX 77901-2765
(361) 582-0611
(361) 582-4978
Mailing address
PO BOX 5171, VICTORIA, TX 77903-5171
(361) 582-0611
(361) 582-4978
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114284
TX
Other
Enumeration date
07/20/2011
Last updated
11/08/2011
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