Provider Demographics
NPI:1356389837
Name:ZIRPOLO, AMY C (PT)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:C
Last Name:ZIRPOLO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1013
Mailing Address - Street 2:
Mailing Address - City:SANBORNVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03872-1013
Mailing Address - Country:US
Mailing Address - Phone:603-522-8215
Mailing Address - Fax:
Practice Address - Street 1:33 CHRISTIAN AVE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-6128
Practice Address - Country:US
Practice Address - Phone:603-229-1172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2968225100000X
MA13231225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist