Provider Demographics
NPI:1558818278
Name:ZONARICH PHYSICAL THERAPY
Entity Type:Organization
Organization Name:ZONARICH PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZONARICH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:717-319-0787
Mailing Address - Street 1:17 S 2ND ST
Mailing Address - Street 2:6TH FL
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17101-2006
Mailing Address - Country:US
Mailing Address - Phone:717-319-0787
Mailing Address - Fax:
Practice Address - Street 1:1306 KING ARTHUR DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-9153
Practice Address - Country:US
Practice Address - Phone:717-319-0787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAIRSONA CO.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-10
Last Update Date:2016-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT00781L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty