Provider Demographics
NPI:1528491933
Name:ZITO, NELIDA ROSARIO (BS-ITFS)
Entity type:Individual
Prefix:MRS
First Name:NELIDA
Middle Name:ROSARIO
Last Name:ZITO
Suffix:
Gender:F
Credentials:BS-ITFS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 ROCKWELL CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-8774
Mailing Address - Country:US
Mailing Address - Phone:919-803-2720
Mailing Address - Fax:919-803-2869
Practice Address - Street 1:1005 ROCKWELL CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-8774
Practice Address - Country:US
Practice Address - Phone:919-803-2720
Practice Address - Fax:919-803-2869
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-21
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCIT # 1205222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist