Healthcare Provider Details

I. General information

NPI: 1760809321
Provider Name (Legal Business Name): WILLIAM RICHARD ZIHLMAN D.P.T
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2014
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2080 CHILD ST
JACKSONVILLE FL
32214-4204
US

IV. Provider business mailing address

2080 CHILD ST
JACKSONVILLE FL
32214-5005
US

V. Phone/Fax

Practice location:
  • Phone: 614-206-1112
  • Fax:
Mailing address:
  • Phone: 614-206-1112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT27774
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: