Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 08801 | LA |
NPI | 1003274267 |
---|---|
Provider Name | Ms. Victoria P Zaunbrecher |
First Address | Baton Rouge, LA 70817-1370 |
Second Address | Baton Rouge, LA 70817-1370 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2016 |
Last Update Date | 01/10/2021 |