Provider Demographics
NPI:1821313016
Name:ZYCH, JAMI SUE (PT)
Entity Type:Individual
Prefix:
First Name:JAMI
Middle Name:SUE
Last Name:ZYCH
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 1:3820 COLONIAL BLVD
Mailing Address - Street 2:STE. #103
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-1094
Mailing Address - Country:US
Mailing Address - Phone:239-433-1777
Mailing Address - Fax:239-433-1776
Practice Address - Street 1:3820 COLONIAL BLVD
Practice Address - Street 2:STE. #103
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966-1094
Practice Address - Country:US
Practice Address - Phone:239-433-1777
Practice Address - Fax:239-433-1776
Is Sole Proprietor?:No
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 251902251N0400X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics