Provider Demographics
NPI:1760676894
Name:ZORN, RACHEL BLAIR (DPT)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:BLAIR
Last Name:ZORN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 UPPER RAGSDALE DR
Mailing Address - Street 2:SUITE 125
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-7831
Mailing Address - Country:US
Mailing Address - Phone:831-372-2963
Mailing Address - Fax:
Practice Address - Street 1:21 UPPER RAGSDALE DR
Practice Address - Street 2:SUITE 125
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-7831
Practice Address - Country:US
Practice Address - Phone:831-372-2963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 38115225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist