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NPI Code Detail

MEDICARE: MRS. CRYSTAL LYNN ZEPP PT

MEDICARE: MRS. CRYSTAL LYNN ZEPP 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 TherapistPT008906LPA

General Provider Information

NPI Number : 1871159285
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CRYSTAL LYNN ZEPP PT
Provider Business Mailing Address
First Line : 3253 CHARLES GRIFFIN DR
Second Line :
City : GARNET VALLEY
State : PA
Zip : 19060-2206
Country : US
Telephone Number : 610-364-1576
Fax Number :
Provider Business Practice Location Address
First Line : 704 RIVER RD
Second Line :
City : WILMINGTON
State : DE
Zip : 19809-2746
Country : US
Telephone Number : 302-764-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2019
Last Update Date : 05/13/2019

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