MEDICARE: MRS. JENNIFER C. ZAHAREK DPT

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	9627	CT

General Provider Information

NPI Number	:	1326380031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER C. ZAHAREK DPT

Provider Business Mailing Address
First Line	:	2 POMPERAUG OFFICE PARK
Second Line	:	SUITE 303
City	:	SOUTHBURY
State	:	CT
Zip	:	06488-2292
Country	:	US
Telephone Number	:	203-264-1735
Fax Number	:	203-264-9251

Provider Business Practice Location Address
First Line	:	2 POMPERAUG OFFICE PARK
Second Line	:	SUITE 303
City	:	SOUTHBURY
State	:	CT
Zip	:	06488-2292
Country	:	US
Telephone Number	:	203-264-1735
Fax Number	:	203-264-9251

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

Provider Enumeration Date	:	03/20/2013
Last Update Date	:	03/20/2013

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