Provider Demographics
NPI:1710125778
Name:ZELLMAN, CHRISTY LYN (MPT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:LYN
Last Name:ZELLMAN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6044 WINTERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-3654
Mailing Address - Country:US
Mailing Address - Phone:919-740-1017
Mailing Address - Fax:
Practice Address - Street 1:615 SPRING FOREST RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-9150
Practice Address - Country:US
Practice Address - Phone:919-981-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8320225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist