MEDICARE: CURTIS JAMES JOSEPH ZAKHAR 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
1	225100000X	Physical Therapist	39788	CA

General Provider Information

NPI Number	:	1922346188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CURTIS JAMES JOSEPH ZAKHAR PT DPT

Provider Business Mailing Address
First Line	:	26700 TOWNE CENTRE DR STE 120
Second Line	:
City	:	FOOTHILL RANCH
State	:	CA
Zip	:	92610-2843
Country	:	US
Telephone Number	:	949-597-2103
Fax Number	:	949-597-2061

Provider Business Practice Location Address
First Line	:	26700 TOWNE CENTRE DR STE 120
Second Line	:
City	:	FOOTHILL RANCH
State	:	CA
Zip	:	92610-2843
Country	:	US
Telephone Number	:	949-597-2103
Fax Number	:	949-597-2061

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

Provider Enumeration Date	:	01/23/2013
Last Update Date	:	04/10/2020

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