Provider Demographics
NPI:1043299092
Name:ZIPSER, LAWRENCE JAY (PT)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:JAY
Last Name:ZIPSER
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:8212 MALLOY DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-5018
Mailing Address - Country:US
Mailing Address - Phone:714-969-2924
Mailing Address - Fax:714-969-6023
Practice Address - Street 1:3816 WOODRUFF AVE
Practice Address - Street 2:#407
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808
Practice Address - Country:US
Practice Address - Phone:562-425-9888
Practice Address - Fax:562-425-9505
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2010-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPT7232225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA556538Medicare ID - Type UnspecifiedPHYSICAL THERAPY/REHAB AG