Provider Demographics
NPI:1235506940
Name:ZAVADA, ANDA K (PT)
Entity Type:Individual
Prefix:
First Name:ANDA
Middle Name:K
Last Name:ZAVADA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:1040 SIERRA DRIVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-7241
Mailing Address - Country:US
Mailing Address - Phone:317-528-4881
Mailing Address - Fax:317-859-8227
Practice Address - Street 1:2001 US HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-2892
Practice Address - Country:US
Practice Address - Phone:219-365-1242
Practice Address - Fax:219-356-1243
Is Sole Proprietor?:No
Enumeration Date:2015-08-28
Last Update Date:2016-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN05002259225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic