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1881626349 NPI number — BRENDA KAY ZAGULA M.P.T.

NPI Number: 1881626349
Health Care Provider/Practitioner: BRENDA KAY ZAGULA M.P.T.

Information about “1881626349” NPI (BRENDA KAY ZAGULA M.P.T.) exists in 1881626349 in HTML format HTML  |  1881626349 in plain Text format TXT  |  1881626349 in PDF (Portable Document Format) PDF  |  1881626349 in an XML format XML  formats.

NPI Number : 1881626349 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881626349",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ZAGULA",
    "FirstName": "BRENDA",
    "MiddleName": "KAY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.P.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SCHUMACHER",
    "OtherFirstName": "BRENDA",
    "OtherMiddleName": "KAY",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.P.T.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1026 WRENS GATE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MUNDELEIN",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60060-1268",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-949-4262",
    "MailingAddressFaxNumber": "847-949-8526",
    "FirstLinePracticeLocationAddress": "450 N SEYMOUR AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MUNDELEIN",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60060-1835",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-949-4262",
    "PracticeLocationAddressFaxNumber": "847-949-8526",
    "EnumerationDate": "07/07/2006",
    "LastUpdateDate": "09/18/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "070-007536",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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