Provider Demographics
NPI:1629574124
Name:ZAINITZER, LYNDA (PTA 24142)
Entity Type:Individual
Prefix:
First Name:LYNDA
Middle Name:
Last Name:ZAINITZER
Suffix:
Gender:F
Credentials:PTA 24142
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 BUSH RD
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-5694
Mailing Address - Country:US
Mailing Address - Phone:561-529-4843
Mailing Address - Fax:
Practice Address - Street 1:350 BUSH RD
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-5694
Practice Address - Country:US
Practice Address - Phone:561-529-4843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24142225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL24142Other225200000X