Healthcare Provider Details

I. General information

NPI: 1881902336
Provider Name (Legal Business Name): DAVID JOSEPH ZWACK DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2010
Last Update Date: 07/19/2025
Certification Date: 07/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 NATIONAL RD
BRIDGEPORT OH
43912-1532
US

IV. Provider business mailing address

5 LAUREL AVE
WHEELING WV
26003-5819
US

V. Phone/Fax

Practice location:
  • Phone: 740-359-3730
  • Fax:
Mailing address:
  • Phone: 740-359-3730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number009658
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number002753
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: