Healthcare Provider Details

I. General information

NPI: 1386895597
Provider Name (Legal Business Name): MEREDITH ANN DZURENDA P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2008
Last Update Date: 10/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S NEGLEY AVE
PITTSBURGH PA
15232-1658
US

IV. Provider business mailing address

550 S NEGLEY AVE
PITTSBURGH PA
15232-1658
US

V. Phone/Fax

Practice location:
  • Phone: 412-665-2400
  • Fax: 412-661-1306
Mailing address:
  • Phone: 412-665-2400
  • Fax: 412-661-1306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT011229L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: