Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 006686 | KY |
NPI | 1003292152 |
---|---|
Provider Name | Conner J Zuber |
First Address | Evansville, IN 47716-5629 |
Second Address | Evansville, IN 47715 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2015 |
Last Update Date | 03/07/2018 |