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Individual

MIRANDA LISA ZITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAT, ATC, EMT

Contact information

Practice address
700 S HIGH ST, WEST CHESTER, PA 19383-0001
(401) 742-7960
Mailing address
615 DOWNINGTOWN PIKE APT B302, WEST CHESTER, PA 19380-2273
(401) 742-7960

Taxonomy

Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
1032565
PA
2255A2300X
Athletic Trainer
Primary
RTO000567
PA
2255A2300X
Athletic Trainer

Other

Enumeration date
09/05/2021
Last updated
12/18/2023
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