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NPI Code Detail

MEDICARE: ERIKA ZEHNER PTA

MEDICARE:   ERIKA  ZEHNER  PTA
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
1225200000XPhysical Therapy Assistant2013025722MO

General Provider Information

NPI Number : 1609201409
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA ZEHNER PTA
Provider Business Mailing Address
First Line : 3121 GRACE HILL DR
Second Line :
City : LAKE SAINT LOUIS
State : MO
Zip : 63367-5840
Country : US
Telephone Number : 314-608-6054
Fax Number :
Provider Business Practice Location Address
First Line : 2 HARBOR BEND CT
Second Line :
City : LAKE SAINT LOUIS
State : MO
Zip : 63367-1478
Country : US
Telephone Number : 636-695-2070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2013
Last Update Date : 09/11/2013

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Directions to “ ERIKA ZEHNER PTA” Practice Location

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