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General NPI Number Information
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NPI Number | 1851290993
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Entity Type | Organization
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Legal Business Name | ZWACK FUNCTIONAL REHAB LLC
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 914 NATIONAL RD
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City | BRIDGEPORT
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State | OH
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Zip | 43912-1532
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Country | US
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Telephone | 740-359-3730
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Fax | 740-359-3730
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Provider Business Mailing Address
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Address Line | 5 LAUREL AVE
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City | WHEELING
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State | WV
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Zip | 26003-5819
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER / PHYSICAL THERAPIST
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Name | DAVID ZWACK
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Credential | PT
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Telephone | 740-359-3730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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