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NPI Code Detail

MEDICARE: MRS. CHRISTY ZUCCHERO SMITHERAN MPT

MEDICARE: MRS. CHRISTY ZUCCHERO SMITHERAN MPT
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
12251N0400XNeurology Physical TherapistPT25929CA

General Provider Information

NPI Number : 1710913314
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTY ZUCCHERO SMITHERAN MPT
Provider Business Mailing Address
First Line : 6056 E APPIAN WAY
Second Line :
City : LONG BEACH
State : CA
Zip : 90803-4115
Country : US
Telephone Number : 562-544-4313
Fax Number : 562-988-3671
Provider Business Practice Location Address
First Line : 3294 E SPRING ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-2426
Country : US
Telephone Number : 562-988-3570
Fax Number : 562-988-3671
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 05/26/2016

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