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NPI Code Detail

MEDICARE: MR. TODD ZENDZIAN PT

MEDICARE: MR. TODD ZENDZIAN 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
1225100000XPhysical Therapist006893CT

General Provider Information

NPI Number : 1922054865
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TODD ZENDZIAN PT
Provider Business Mailing Address
First Line : 45 MERIDEN AVE
Second Line :
City : SOUTHINGTON
State : CT
Zip : 06489-3214
Country : US
Telephone Number : 860-378-1234
Fax Number :
Provider Business Practice Location Address
First Line : 45 MERIDEN AVE
Second Line :
City : SOUTHINGTON
State : CT
Zip : 06489-3214
Country : US
Telephone Number : 860-378-1234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 08/22/2007

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Directions to “ MR. TODD ZENDZIAN PT” Practice Location

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