Individual
JOHN ANTHONY ZAPATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAPRC, CPSP
Contact information
Practice address
6774 RIO GRANDE AVE, PORTAGE, IN 46368-2592
(219) 939-4187
Mailing address
6774 RIO GRANDE AVE, PORTAGE, IN 46368-2592
(219) 689-2153
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
4156
IN
175T00000X
Peer Specialist
CAPRC1-5741
IN
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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