Healthcare Provider Details

I. General information

NPI: 1366811184
Provider Name (Legal Business Name): RACHEL ANDERSON ZUMSTEIN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2015
Last Update Date: 11/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 W MALLARD CREEK CHURCH RD SUITE A
CHARLOTTE NC
28262-2324
US

IV. Provider business mailing address

4601 PARK RD STE 300
CHARLOTTE NC
28209-3239
US

V. Phone/Fax

Practice location:
  • Phone: 704-323-2000
  • Fax:
Mailing address:
  • Phone: 704-323-2248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP15786
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: