Healthcare Provider Details

I. General information

NPI: 1306943261
Provider Name (Legal Business Name): MICHELE ZAPPILE-LUCIS PT, DPT, OCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 MARLTON PIKE E SUITE A7
CHERRY HILL NJ
08003-2150
US

IV. Provider business mailing address

4526 COMLY STREET
PHILADELPHIA PA
19135
US

V. Phone/Fax

Practice location:
  • Phone: 856-424-0993
  • Fax:
Mailing address:
  • Phone: 215-288-8319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number40QA01217900
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: