Healthcare Provider Details

I. General information

NPI: 1871515171
Provider Name (Legal Business Name): KATHERINE A ZWANZIGER D.P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 01/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3420 S MERCY RD SUITE 200
GILBERT AZ
85297-0423
US

IV. Provider business mailing address

18444 N 25TH AVE SUITE 310
PHOENIX AZ
85023-1261
US

V. Phone/Fax

Practice location:
  • Phone: 623-537-5600
  • Fax: 866-939-2673
Mailing address:
  • Phone: 623-537-5600
  • Fax: 866-939-2673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7180
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number7180
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: