Provider Demographics
NPI:1891483269
Name:SETTY-O'CONNOR, ZACHARY WARD (COTA, RAC-CT)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:WARD
Last Name:SETTY-O'CONNOR
Suffix:
Gender:M
Credentials:COTA, RAC-CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 OAK BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-5727
Mailing Address - Country:US
Mailing Address - Phone:682-999-2297
Mailing Address - Fax:
Practice Address - Street 1:2001 OAK BLUFF DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-5727
Practice Address - Country:US
Practice Address - Phone:682-999-2297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX213138224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant