Provider Demographics
NPI:1841363538
Name:ZAPPALA, JOHN GLEN (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:GLEN
Last Name:ZAPPALA
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Gender:M
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:623 RIVER RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:FAIR HAVEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07704-3267
Mailing Address - Country:US
Mailing Address - Phone:732-842-5522
Mailing Address - Fax:732-842-2711
Practice Address - Street 1:623 RIVER RD
Practice Address - Street 2:SUITE 5
Practice Address - City:FAIR HAVEN
Practice Address - State:NJ
Practice Address - Zip Code:07704-3267
Practice Address - Country:US
Practice Address - Phone:732-842-5522
Practice Address - Fax:732-842-2711
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJQA009748225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist