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NPI Code Detail

MEDICARE: MRS. CINA ZSONVIELLE DOUGLAS PTA

MEDICARE: MRS. CINA ZSONVIELLE DOUGLAS PTA
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
1225200000XPhysical Therapy Assistant2476-19WI

General Provider Information

NPI Number : 1528912284
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CINA ZSONVIELLE DOUGLAS PTA
Provider Business Mailing Address
First Line : 3701 80TH ST
Second Line :
City : KENOSHA
State : WI
Zip : 53142-4950
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3701 80TH ST
Second Line :
City : KENOSHA
State : WI
Zip : 53142-4950
Country : US
Telephone Number : 262-697-1730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2026
Last Update Date : 02/20/2026

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