Healthcare Provider Details

I. General information

NPI: 1992865000
Provider Name (Legal Business Name): ROBERT LOUIS ZENTZ M.S.,P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 STATE ROUTE 19 N
WARSAW NY
14569-9356
US

IV. Provider business mailing address

PO BOX 41
SILVER LAKE NY
14549-0041
US

V. Phone/Fax

Practice location:
  • Phone: 585-786-8700
  • Fax: 585-786-2659
Mailing address:
  • Phone: 585-507-0106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number022703
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: