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Organization
ZEOLLA PHYSICAL THERAPY INC
Active
Organization
ZEOLLA PHYSICAL THERAPY INC
Active
Other names
Agoura Hills Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE ALDEN ZEOLLA PT (OWNER)
(818) 889-0158
Entity
Organization
Contact information
Practice address
5927 KANAN ROAD, AGOURA HILLS, CA 91301-1688
(818) 889-0158
(818) 889-4708
Mailing address
5927 KANAN ROAD, AGOURA HILLS, CA 91301-1688
(818) 889-0158
(818) 889-4708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT17671
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7126624
AETNA INS CO
—
01
—
PT176710
BLUE SHIELD OF CA
—
Enumeration date
04/03/2007
Last updated
10/22/2013
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