Provider Demographics
NPI:1205427689
Name:MAYO, ZACHARY CHRISTOPHER (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:CHRISTOPHER
Last Name:MAYO
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:ZACH
Other - Middle Name:
Other - Last Name:MAYO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:16 PAPERMILL RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1448
Mailing Address - Country:US
Mailing Address - Phone:856-685-8557
Mailing Address - Fax:
Practice Address - Street 1:2005 MARLTON PIKE E
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-1279
Practice Address - Country:US
Practice Address - Phone:856-874-1166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA019391002251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic