Provider Demographics
NPI:1750567889
Name:ZUMBRO AND CONNELL, INC
Entity type:Organization
Organization Name:ZUMBRO AND CONNELL, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:CONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:910-398-6301
Mailing Address - Street 1:5710 OLEANDER DR
Mailing Address - Street 2:STE 210
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-4766
Mailing Address - Country:US
Mailing Address - Phone:910-398-6301
Mailing Address - Fax:
Practice Address - Street 1:5710 OLEANDER DR
Practice Address - Street 2:STE 210
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-4766
Practice Address - Country:US
Practice Address - Phone:910-398-6301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2986261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy