Doctor Name: | ANDA K ZAVADA |
NPI Number: | 1235506940 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 05002259 |
Business Practice Address: | 2001 Us Highway 41 Schererville, IN - 463752892 |
Business Phone Number: | 2193651242 |
Business Fax Number: | 2193561243 |
Mailing Address: | 1040 Sierra Drive, Suite 400 GREENWOOD |
State: | IN |
Postal Code: | 461437241 |
Phone Number: | 3175284881 |
Fax Number: | 3178598227 |
NPI Enumeration Date: | 08/28/2015 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 05002259 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |