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NPI Code Detail

MEDICARE: CHRISTOPHER ALAN ZOLL MSPT, CWS

MEDICARE: CHRISTOPHER ALAN ZOLL MSPT, CWS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1161842TX

General Provider Information

NPI Number : 1144571498
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER ALAN ZOLL MSPT, CWS
Provider Business Mailing Address
First Line : 1600 TEXAS ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-3400
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1600 TEXAS ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76102-3400
Country : US
Telephone Number : 817-338-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2012
Last Update Date : 09/26/2012

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