Healthcare Provider Details

I. General information

NPI: 1922653583
Provider Name (Legal Business Name): PATRICK P ZADROZNY DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2019
Last Update Date: 08/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 N 4TH ST
MARTINS FERRY OH
43935-1648
US

IV. Provider business mailing address

35 BISHOP ST
WHEELING WV
26003-1503
US

V. Phone/Fax

Practice location:
  • Phone: 740-633-4386
  • Fax:
Mailing address:
  • Phone: 304-280-8407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.013098
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: