Individual ProviderAmber Dawn ZidekOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4208 Retama Cir, Victoria, TX 77901-2765(361) 582-0611PECOS EnrollmentBased on the most recent information from CMS, provider Amber Dawn Zidek does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1689962904Provider TypeIndividualFull NameZidek, Amber DawnGenderFemaleSole ProprietorNoEnumeration Date7/20/2011Last Updated11/8/2011Contact InformationPractice LocationPractice Address4208 Retama Cir, Victoria, TX 77901-2765Phone(361) 582-0611Fax(361) 582-4978Mailing LocationMailing AddressPO Box 5171, Victoria, TX 77903-5171Phone(361) 582-0611Fax(361) 582-4978Provider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense114284Texas