Healthcare Provider Details

I. General information

NPI: 1124026133
Provider Name (Legal Business Name): MARLENE C. ZUHL PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 08/16/2021
Certification Date: 07/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8115 E INDIAN BEND RD
SCOTTSDALE AZ
85250
US

IV. Provider business mailing address

7000 N 16TH ST STE 120 #189
PHOENIX AZ
85020
US

V. Phone/Fax

Practice location:
  • Phone: 602-558-9107
  • Fax:
Mailing address:
  • Phone: 602-558-9107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2635
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: