Healthcare Provider Details

I. General information

NPI: 1205513629
Provider Name (Legal Business Name): DEBORAH ANN ZATTONI PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH ANN ARCHER PT

II. Dates (important events)

Enumeration Date: 06/28/2023
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 94TH AVE N
BROOKLYN PARK MN
55443-2395
US

IV. Provider business mailing address

5420 KAHLER DR NE
ALBERTVILLE MN
55301-9780
US

V. Phone/Fax

Practice location:
  • Phone: 763-401-2461
  • Fax: 479-935-2975
Mailing address:
  • Phone: 763-442-2172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5584
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: