Provider Demographics
NPI:1952445496
Name:WEINZAPFEL, NINFA P (PT)
Entity Type:Individual
Prefix:
First Name:NINFA
Middle Name:P
Last Name:WEINZAPFEL
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 1:2377 W. FOOTHILL BLVD.
Mailing Address - Street 2:STE 20
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-3584
Mailing Address - Country:US
Mailing Address - Phone:909-606-2800
Mailing Address - Fax:909-608-2803
Practice Address - Street 1:2377 W FOOTHILL BLVD STE 20
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-3584
Practice Address - Country:US
Practice Address - Phone:909-608-2800
Practice Address - Fax:909-608-2903
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20354225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1841713625OtherNPI TYPE II
CA1841713625OtherNPI TYPE II
CAOPT203540Medicare PIN
CAZZZ30106ZMedicare PIN