Doctor Name: | MR. PAUL HENRY ZWETSLOOT |
NPI Number: | 1831242650 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.P.T. |
License Number: | PT20201 |
Business Practice Address: | 590 Main St Suite H Weed, CA - 960942339 |
Business Phone Number: | 5309383344 |
Business Fax Number: | 5309383340 |
Mailing Address: | 6018 High Meadow Dr, WEED |
State: | CA |
Postal Code: | 960949045 |
Phone Number: | 5309381686 |
Fax Number: | |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 12/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | PT20201 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |