Provider Demographics
NPI:1548476559
Name:ZOCH, RANA LORENE (PT)
Entity type:Individual
Prefix:MRS
First Name:RANA
Middle Name:LORENE
Last Name:ZOCH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:RANA
Other - Middle Name:LORENE
Other - Last Name:MODAWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:590 CEDAR
Mailing Address - Street 2:
Mailing Address - City:STEPHENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76401
Mailing Address - Country:US
Mailing Address - Phone:940-367-6419
Mailing Address - Fax:
Practice Address - Street 1:400 S. HOUSTON ST.
Practice Address - Street 2:
Practice Address - City:DE LEON
Practice Address - State:TX
Practice Address - Zip Code:76444
Practice Address - Country:US
Practice Address - Phone:254-893-2015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1059608225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist