MEDICARE: MS. BARBARA E ZENTZ 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	2251G0304X	Geriatric Physical Therapist	8660	WA

General Provider Information

NPI Number	:	1881826113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA E ZENTZ PT

Provider Business Mailing Address
First Line	:	7125 FAUNTLEROY WAY SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-2008
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7125 FAUNTLEROY WAY SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-2008
Country	:	US
Telephone Number	:	206-937-2800
Fax Number	:

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

Provider Enumeration Date	:	08/20/2009
Last Update Date	:	08/20/2009

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