Provider Demographics
NPI:1659601748
Name:ZEHR, ELIZA MICHELE (PT)
Entity Type:Individual
Prefix:MRS
First Name:ELIZA
Middle Name:MICHELE
Last Name:ZEHR
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 1:6006 NUMBER FOUR RD
Mailing Address - Street 2:
Mailing Address - City:LOWVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13367-3309
Mailing Address - Country:US
Mailing Address - Phone:315-377-4114
Mailing Address - Fax:315-377-4115
Practice Address - Street 1:6006 NUMBER FOUR RD
Practice Address - Street 2:
Practice Address - City:LOWVILLE
Practice Address - State:NY
Practice Address - Zip Code:13367-3309
Practice Address - Country:US
Practice Address - Phone:315-377-4114
Practice Address - Fax:315-377-4115
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-12
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022611-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist