Provider Demographics
NPI:1417244922
Name:ZAPPALA, KATRINA LYNN (DPT)
Entity Type:Individual
Prefix:MISS
First Name:KATRINA
Middle Name:LYNN
Last Name:ZAPPALA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KATRINA
Other - Middle Name:LYNN
Other - Last Name:HERSKEDAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:28924 S WESTERN AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-0885
Mailing Address - Country:US
Mailing Address - Phone:310-548-0104
Mailing Address - Fax:310-548-0559
Practice Address - Street 1:28924 S WESTERN AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:RANCHO PALOS VERDES
Practice Address - State:CA
Practice Address - Zip Code:90275-0885
Practice Address - Country:US
Practice Address - Phone:310-548-0104
Practice Address - Fax:310-548-0559
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT37967225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist