Healthcare Provider Details

I. General information

NPI: 1316101926
Provider Name (Legal Business Name): MEGHAN ZIPIN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGHAN DELANEY

II. Dates (important events)

Enumeration Date: 07/13/2008
Last Update Date: 02/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 PARK DR APT 6
BOSTON MA
02215-5253
US

IV. Provider business mailing address

85 PARK DR APT 6
BOSTON MA
02215-5253
US

V. Phone/Fax

Practice location:
  • Phone: 617-999-9714
  • Fax:
Mailing address:
  • Phone: 617-999-9714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number34726
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17567
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: