Healthcare Provider Details

I. General information

NPI: 1881708923
Provider Name (Legal Business Name): STEPHEN WILLIAM ZECHER M.P.T., P.T., O.C.S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 01/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10431 COMMERCE ST STE A
REDLANDS CA
92374-2833
US

IV. Provider business mailing address

900 E WASHINGTON ST STE 200
COLTON CA
92324-4192
US

V. Phone/Fax

Practice location:
  • Phone: 909-796-7700
  • Fax: 909-796-4384
Mailing address:
  • Phone: 909-882-5867
  • Fax: 909-824-8233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT10678
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: