Provider Demographics
NPI:1700060209
Name:ZAPPALA, PATRICIA L (MS, ATC, CSCS)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:L
Last Name:ZAPPALA
Suffix:
Gender:F
Credentials:MS, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:791 WEST GENESEE STREET
Mailing Address - Street 2:
Mailing Address - City:SKANEATELES
Mailing Address - State:NY
Mailing Address - Zip Code:13152-9377
Mailing Address - Country:US
Mailing Address - Phone:315-685-7544
Mailing Address - Fax:315-685-7549
Practice Address - Street 1:791 WEST GENESEE STREET
Practice Address - Street 2:
Practice Address - City:SKANEATELES
Practice Address - State:NY
Practice Address - Zip Code:13152-9377
Practice Address - Country:US
Practice Address - Phone:315-685-7544
Practice Address - Fax:315-685-7549
Is Sole Proprietor?:No
Enumeration Date:2007-12-20
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0011172255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer