NPI 1609407485

Steven Brian Zickafoose, PTA

Practitioner Physical Therapy Assistant Mount Airy, MD

Practice location

Address: 504 E Ridgeville Blvd STE 107, Mount Airy, MD 21771-5942
Phone: (301) 829-6811
Mailing address: 1584 Elmwood CT, Frederick, MD 21702-3729

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A5296 (MD)

Other Physical Therapy Assistant providers in Maryland →

Registry record

NPI: 1609407485
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2020
Record last updated: 30 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.