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NPI Code Detail

MEDICARE: TRACY D ZYTKOSKEE PT

MEDICARE: TRACY D ZYTKOSKEE PT
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
1225100000XPhysical Therapist00303RLA

General Provider Information

NPI Number : 1518995281
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY D ZYTKOSKEE PT
Provider Business Mailing Address
First Line : 2906 PLANTATION DR
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-5851
Country : US
Telephone Number : 318-746-5295
Fax Number : 318-746-5297
Provider Business Practice Location Address
First Line : 2906 PLANTATION DR
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-5851
Country : US
Telephone Number : 318-746-5295
Fax Number : 318-746-5297
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 03/30/2009

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Directions to “ TRACY D ZYTKOSKEE PT” Practice Location

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