Individual provider · NPI-1

Joanna M Zaccaria, MS, MT-BC

Rehabilitation Practitioner · San Jose, CA

NPI number1750904983
StatusActive
Last updated in NPPESJun 7, 2025

Details

NPI
1750904983
Entity type
Individual (NPI-1)
Name
Ms. Joanna M Zaccaria
Credential
MS, MT-BC
Sex
Female
Sole proprietor
No
Enumeration date
May 21, 2020
Certification date
Jun 7, 2025
Last updated
Jun 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner–CAYes
171M00000X Case Manager/Care Coordinator–CA
225A00000X Music Therapist12282NY

Practice location

232 E Gish Rd
San Jose, CA 95112-4706

Phone 585-490-2565

Mailing address

601 Almarida Dr Apt A02
Campbell, CA 95008-0215

Phone 585-490-2565

Other practice locations

9673 Soquel Dr
Aptos, CA 95003-4147

Phone 585-490-2565

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