Provider Demographics
NPI:1891529533
Name:ESTRADA-WOMACK, ZELMA ANGELIQUE (DPT)
Entity type:Individual
Prefix:
First Name:ZELMA
Middle Name:ANGELIQUE
Last Name:ESTRADA-WOMACK
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4941 S OLD PEACHTREE RD
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-3493
Mailing Address - Country:US
Mailing Address - Phone:678-335-2080
Mailing Address - Fax:678-335-2079
Practice Address - Street 1:4941 S OLD PEACHTREE RD STE D
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-3495
Practice Address - Country:US
Practice Address - Phone:678-335-2080
Practice Address - Fax:678-335-2079
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT017584225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist