Healthcare Provider Details

I. General information

NPI: 1093802407
Provider Name (Legal Business Name): SHERRY LYNNE ZEMBIK PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 N STATE COLLEGE BLVD SUITE G
ANAHEIM CA
92806
US

IV. Provider business mailing address

6420 REGENTS COURT
YORBA LINDA CA
92886
US

V. Phone/Fax

Practice location:
  • Phone: 714-999-6596
  • Fax: 714-999-5007
Mailing address:
  • Phone: 714-779-7076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT10261
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: