Healthcare Provider Details

I. General information

NPI: 1326719956
Provider Name (Legal Business Name): ZULIMA CERDA PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1337 S. GILBERT RD UNIT 105
MESA AZ
85204
US

IV. Provider business mailing address

5741 S WILSON ST
TEMPE AZ
85283
US

V. Phone/Fax

Practice location:
  • Phone: 480-530-0890
  • Fax:
Mailing address:
  • Phone: 773-503-3076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number160.009166
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number015024
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: