Healthcare Provider Details

I. General information

NPI: 1649284233
Provider Name (Legal Business Name): RACHEL ZILKA P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 12/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3880 VALLEY CENTRE DR STE 201
SAN DIEGO CA
92130-3310
US

IV. Provider business mailing address

9237 REGENTS RD APT K-114
LA JOLLA CA
92037
US

V. Phone/Fax

Practice location:
  • Phone: 858-793-1460
  • Fax: 858-793-1989
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT010817
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT34071
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: