MEDICARE: DR. SILVIO ZUCCHELLI DPT

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
1	225100000X	Physical Therapist	301252	CA

General Provider Information

NPI Number	:	1952068835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SILVIO ZUCCHELLI DPT

Provider Business Mailing Address
First Line	:	1521 ARTESIA BLVD UNIT D
Second Line	:
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-7161
Country	:	US
Telephone Number	:	917-250-5346
Fax Number	:

Provider Business Practice Location Address
First Line	:	1521 ARTESIA BLVD
Second Line	:
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-7161
Country	:	US
Telephone Number	:	917-250-5346
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2021
Last Update Date	:	01/10/2025

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