Healthcare Provider Details

I. General information

NPI: 1992936314
Provider Name (Legal Business Name): ZELINDA YVONNE OWENS PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ZELINDA YVONNE ATKINS

II. Dates (important events)

Enumeration Date: 08/03/2009
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3060 WALDORF MARKET PL STE 36
WALDORF MD
20603-4871
US

IV. Provider business mailing address

4524 RATCLIFF PL UNIT B
WALDORF MD
20602-1575
US

V. Phone/Fax

Practice location:
  • Phone: 240-949-1676
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberA4242
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: