Zachary David Pevnick DPT

NPI 1578879516 - Physical Therapist - 2251X0800X

NPI Details
NPI 1578879516
Gender Male
Enumeration Date 08/27/2010
Last Updated 08/27/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1149 W 190TH ST
GARDENA CA, 90248-4321, US
Phone (626) 394-1575
Fax (661) 678-4510
Business Location
614 11TH ST
HERMOSA BEACH CA, 90254-3936, US
Phone (314) 882-6985
Taxonomy Code 2251X0800X
License State California
License Number 36828
Remove 1578879516 NPI Number

According to our database, Dr. Zachary David Pevnick DPT NPI is 1578879516, taxonomy code is 2251X0800X and license number is 36828, license state is located at California. Zachary David Pevnick DPT physically located at 1149 W 190th St, Gardena CA, 90248-4321. NPI Number Zachary David Pevnick DPT has the Individual type.

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1578879516 NPI number is provided on an as is basis without warranty of any kind. 1578879516 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary David Pevnick DPT are for informational purposes only.