MEDICARE: MS. REBECCA LAN ZERBST PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT10534	CA

General Provider Information

NPI Number	:	1063577195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. REBECCA LAN ZERBST PT

Provider Business Mailing Address
First Line	:	732 E CHAPMAN AVE
Second Line	:	SPECTRUM PHYSICAL THERAPY, INC.
City	:	ORANGE
State	:	CA
Zip	:	92866-1621
Country	:	US
Telephone Number	:	714-633-8535
Fax Number	:	714-633-2684

Provider Business Practice Location Address
First Line	:	732 E CHAPMAN AVE
Second Line	:	SPECTRUM PHYSICAL THERAPY, INC.
City	:	ORANGE
State	:	CA
Zip	:	92866-1621
Country	:	US
Telephone Number	:	714-633-8535
Fax Number	:	714-633-2684

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	12/06/2011

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