Provider Demographics
NPI:1326098021
Name:ZANE, LINDA JAN (PT, MPA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JAN
Last Name:ZANE
Suffix:
Gender:F
Credentials:PT, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 LINTON BLVD
Mailing Address - Street 2:SUITE F116
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-6584
Mailing Address - Country:US
Mailing Address - Phone:561-496-1446
Mailing Address - Fax:561-498-7848
Practice Address - Street 1:4800 LINTON BLVD
Practice Address - Street 2:SUITE F116
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6584
Practice Address - Country:US
Practice Address - Phone:561-498-1423
Practice Address - Fax:561-498-7848
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0004371225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY2557ZMedicare ID - Type Unspecified