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NPI Code Detail

MEDICARE: GABRIELA ZELLER PTA

MEDICARE: GABRIELA ZELLER PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant618-019WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174742019
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELA ZELLER PTA
Provider Business Mailing Address
First Line : 9422 W GOODRICH AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53224-2732
Country : US
Telephone Number : 414-586-0837
Fax Number :
Provider Business Practice Location Address
First Line : 1414 N PROSPECT AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-3018
Country : US
Telephone Number : 262-478-0332
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 07/08/2007

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