Healthcare Provider Details

I. General information

NPI: 1164621082
Provider Name (Legal Business Name): MRS. SUMMER ANN ZAPPIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 PEACHTREE RD NE STE D336
ATLANTA GA
30309-1148
US

IV. Provider business mailing address

2221 PEACHTREE RD NE STE D336
ATLANTA GA
30309-1148
US

V. Phone/Fax

Practice location:
  • Phone: 770-443-4483
  • Fax: 770-443-4410
Mailing address:
  • Phone: 770-443-4483
  • Fax: 770-443-4410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT008706
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: