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NPI Code Detail

MEDICARE: JULIA ZAITSEV PT, DPT

MEDICARE: JULIA ZAITSEV PT, 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
1225100000XPhysical Therapist42041CA

General Provider Information

NPI Number : 1881082295
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA ZAITSEV PT, DPT
Provider Business Mailing Address
First Line : 2759 S NORFOLK ST
Second Line : APT 109
City : SAN MATEO
State : CA
Zip : 94403-5506
Country : US
Telephone Number : 410-570-7216
Fax Number :
Provider Business Practice Location Address
First Line : 3532 ALAMEDA DE LAS PULGAS
Second Line :
City : MENLO PARK
State : CA
Zip : 94025-6510
Country : US
Telephone Number : 650-561-9589
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2015
Last Update Date : 10/01/2015

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