Provider Demographics
NPI:1255857132
Name:ZITA, CHRISTOPHER JOHN ROBERT (DPT)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER JOHN
Middle Name:ROBERT
Last Name:ZITA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:DR
Other - First Name:C.J.
Other - Middle Name:ROBERT
Other - Last Name:ZITA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:401 W POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-2846
Mailing Address - Country:US
Mailing Address - Phone:509-897-2100
Mailing Address - Fax:509-897-5508
Practice Address - Street 1:401 W POPLAR ST
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-2846
Practice Address - Country:US
Practice Address - Phone:509-897-2100
Practice Address - Fax:509-897-5508
Is Sole Proprietor?:No
Enumeration Date:2017-08-22
Last Update Date:2017-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR62439225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist