Provider Demographics
NPI:1467908319
Name:FRIEDMAN, ZACHARY A (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:A
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 VAN NOSTRAND CT
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-3650
Mailing Address - Country:US
Mailing Address - Phone:609-439-6207
Mailing Address - Fax:
Practice Address - Street 1:23659 COLUMBUS RD
Practice Address - Street 2:MANSFIELD CENTER SUITE 3
Practice Address - City:COLUMBUS
Practice Address - State:NJ
Practice Address - Zip Code:08022-1980
Practice Address - Country:US
Practice Address - Phone:609-324-1200
Practice Address - Fax:609-324-1444
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT025613225100000X
NJ40QA01678400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist