Provider Demographics
NPI:1710913314
Name:SMITHERAN, CHRISTY ZUCCHERO (MPT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:ZUCCHERO
Last Name:SMITHERAN
Suffix:
Gender:F
Credentials:MPT
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Mailing Address - Street 1:6056 E APPIAN WAY
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-4115
Mailing Address - Country:US
Mailing Address - Phone:562-544-4313
Mailing Address - Fax:562-988-3671
Practice Address - Street 1:3294 E SPRING ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2426
Practice Address - Country:US
Practice Address - Phone:562-988-3570
Practice Address - Fax:562-988-3671
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPT259292251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology