Provider Demographics
NPI:1609119122
Name:ZINGARELLI, GINAMARIE E (PTA)
Entity Type:Individual
Prefix:MISS
First Name:GINAMARIE
Middle Name:E
Last Name:ZINGARELLI
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3206 S HOPKINS AVE # 19
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32780-5667
Mailing Address - Country:US
Mailing Address - Phone:321-267-0188
Mailing Address - Fax:321-267-0611
Practice Address - Street 1:3206 S HOPKINS AVE # 19
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:FL
Practice Address - Zip Code:32780-5667
Practice Address - Country:US
Practice Address - Phone:321-267-0188
Practice Address - Fax:321-267-0611
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA23810225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant