Healthcare Provider Details
I. General information
NPI: 1629089990
Provider Name (Legal Business Name): WILLIAM JAMES ZUERNER PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/11/2006
Last Update Date: 11/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1333 WILLOW PASS ROAD SUITE 110
CONCORD CA
94520-5225
US
IV. Provider business mailing address
1333 WILLOW PASS ROAD SUITE 110
CONCORD CA
94520-5225
US
V. Phone/Fax
- Phone: 925-676-7431
- Fax: 925-676-1256
- Phone: 925-676-7431
- Fax: 925-676-1256
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 9164 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: