Most Relevant Information
Provider Data
NPI Number: | 1003292640 |
Provider Name: | PETER ZATEZALO DPT, OCS, COMT |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | PT002983 |
Most Important Dates
Enumeration Date: | 08/05/2015 |
Last Updated: | 03/29/2024 |
Provider Practice Location
5001 STATESMAN DR
IRVING
TX
750632414
Practice Location Phone/Fax
Phone: | 4695241506 |
Fax: |
Provider Mailing Location
5 ORCHARD RD
WHEELING
WV
260036639
Provider Mailing Phone/Fax
Phone: | |
Fax: |