Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 5502000678 | MI |
NPI | 1003297003 |
---|---|
Provider Name | John Zerbe |
First Address | Howell, MI 48855-6800 |
Second Address | Howell, MI 48855-7764 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2015 |
Last Update Date | 15/06/2015 |