Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 005612 | KY |
N | 225100000X | Physical Therapist | 1269600 | TX |
N | 225100000X | Physical Therapist | 29811 | CA |
NPI | 1003009036 |
---|---|
Provider Name | Mrs. Jennille Zabierek |
First Address | Schertz, TX 78154-3368 |
Second Address | Cedar Park, TX 78613-3924 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2007 |
Last Update Date | 12/10/2016 |