Provider Demographics
NPI:1851792212
Name:ZERWIC, NED J (PT)
Entity Type:Individual
Prefix:
First Name:NED
Middle Name:J
Last Name:ZERWIC
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 1:11 W DRY CREEK CT
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4484
Mailing Address - Country:US
Mailing Address - Phone:303-795-0428
Mailing Address - Fax:303-795-2790
Practice Address - Street 1:11 W DRY CREEK CT
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4484
Practice Address - Country:US
Practice Address - Phone:303-795-0428
Practice Address - Fax:303-795-2790
Is Sole Proprietor?:No
Enumeration Date:2014-09-04
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070021028208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
COPTL.0014615OtherPHYSICAL THERAPIST
IL070021028OtherLICENSE