MEDICARE: MS. JULIE ZARETSKY 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	1167260	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1167260	OTHER	TX	PHYSICAL THERAPY LICENSE

General Provider Information

NPI Number	:	1902859622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JULIE ZARETSKY PT

Provider Business Mailing Address
First Line	:	818 REDWAY LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-4221
Country	:	US
Telephone Number	:	281-280-8572
Fax Number	:

Provider Business Practice Location Address
First Line	:	4141 SOUTHWEST FWY
Second Line	:	SUITE 100
City	:	HOUSTON
State	:	TX
Zip	:	77027-7313
Country	:	US
Telephone Number	:	713-669-0042
Fax Number	:

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	07/08/2007

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