Provider Demographics
NPI:1821277955
Name:ZUREK, ELIZABETH ANN (MPT)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANN
Last Name:ZUREK
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:CRAWLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:9950 CALUMET AVE
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-4028
Mailing Address - Country:US
Mailing Address - Phone:219-703-2755
Mailing Address - Fax:219-703-6758
Practice Address - Street 1:9950 CALUMET AVE
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-4028
Practice Address - Country:US
Practice Address - Phone:219-703-2755
Practice Address - Fax:219-703-6758
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05009442A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist