Provider Demographics
NPI:1316227077
Name:ZEITZ, CHRISTINE ALICIA (PT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ALICIA
Last Name:ZEITZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35938 ARGONNE ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-1705
Mailing Address - Country:US
Mailing Address - Phone:510-701-0188
Mailing Address - Fax:
Practice Address - Street 1:35938 ARGONNE ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-1705
Practice Address - Country:US
Practice Address - Phone:510-701-0188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT9013225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist