Healthcare Provider Details

I. General information

NPI: 1457364697
Provider Name (Legal Business Name): ZOLLINGER PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 10/18/2025
Certification Date: 10/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 MEMORIAL DR SUITE A
HOLLISTER CA
95023-5700
US

IV. Provider business mailing address

8000 SANTA TERESA BLVD STE 110
GILROY CA
95020-3875
US

V. Phone/Fax

Practice location:
  • Phone: 831-637-8108
  • Fax: 408-847-0837
Mailing address:
  • Phone: 408-847-0107
  • Fax: 408-847-0837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT9291
License Number StateCA

VIII. Authorized Official

Name: CLINTON ZOLLINGER
Title or Position: OWNER
Credential: MPT
Phone: 408-847-0107