Organization Name: | PETER ZEPELAK PHYSICAL THERAPY PC |
NPI Number: | 1407098007 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETER J ZEPELAK (OWNER/PHYSICAL THERAPIST) |
Mailing Address: | 4 Executive Ct Suite 1 South Barrington |
State: | IL US |
Postal Code: | 600109519 |
Phone Number: | 8472779698 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2009 |
NPI Last Update Date: | 03/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 8065 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |