Provider Demographics
NPI:1144700063
Name:HURLEY, ZOE PHILLIPPA
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:PHILLIPPA
Last Name:HURLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 SOSCOL AVE STE B191
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-4040
Mailing Address - Country:US
Mailing Address - Phone:707-224-3131
Mailing Address - Fax:
Practice Address - Street 1:433 SOSCOL AVE STE B191
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-4040
Practice Address - Country:US
Practice Address - Phone:707-224-3131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2024-03-12
Deactivation Date:2022-05-13
Deactivation Code:
Reactivation Date:2022-06-07
Provider Licenses
StateLicense IDTaxonomies
CA302072225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist