Provider Demographics
NPI:1629089990
Name:ZUERNER, WILLIAM JAMES (PT)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:JAMES
Last Name:ZUERNER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 WILLOW PASS ROAD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5225
Mailing Address - Country:US
Mailing Address - Phone:925-676-7431
Mailing Address - Fax:925-676-1256
Practice Address - Street 1:1333 WILLOW PASS ROAD
Practice Address - Street 2:SUITE 110
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-5225
Practice Address - Country:US
Practice Address - Phone:925-676-7431
Practice Address - Fax:925-676-1256
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9164225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
00PT91640Medicare ID - Type Unspecified