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NPI Code Detail

MEDICARE: LAWRENCE J. ZIPSER, P.T., INC.

MEDICARE: LAWRENCE J. ZIPSER, P.T., INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT7232CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT 7232OTHERCAPT LICENSE

General Provider Information

NPI Number : 1063443950
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAWRENCE J. ZIPSER, P.T., INC.
Provider Business Mailing Address
First Line : 3816 WOODRUFF AVE
Second Line : #407
City : LONG BEACH
State : CA
Zip : 90808-2147
Country : US
Telephone Number : 562-425-9888
Fax Number : 562-425-9505
Provider Business Practice Location Address
First Line : 3816 WOODRUFF AVE
Second Line : #407
City : LONG BEACH
State : CA
Zip : 90808-2147
Country : US
Telephone Number : 562-425-9888
Fax Number : 562-425-9505
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : LAWRENCE J. ZIPSER
Credential : P.T.
Telephone Number : 562-425-9888
Provider Enumeration Date : 07/06/2006
Last Update Date : 01/27/2011

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Directions to “LAWRENCE J. ZIPSER, P.T., INC. ” Practice Location

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