Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 13714 | TN |
N | 2251S0007X | Physical Therapist - Sports | PT028792 | PA |
N | 2251X0800X | Physical Therapist - Orthopedic | PT028792 | PA |
NPI | 1407468655 |
---|---|
Provider Name | Daniel Zambanini |
First Address | Franklin, TN 37068-1478 |
Second Address | Brentwood, TN 37027-4992 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2020 |
Last Update Date | 16/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0446631 | (05) | TN |