Provider Demographics
NPI:1770711376
Name:MITCHELL, ZACHARY T (DPT)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:T
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2004 SPROUL RD
Mailing Address - Street 2:STE 100
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-3511
Mailing Address - Country:US
Mailing Address - Phone:610-359-1580
Mailing Address - Fax:610-359-1050
Practice Address - Street 1:300 EVERGREEN DR
Practice Address - Street 2:STE 220
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1059
Practice Address - Country:US
Practice Address - Phone:610-579-3650
Practice Address - Fax:610-579-3655
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist