Provider Demographics
NPI:1962467027
Name:ZWEIFEL, CAROL J (ATC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:J
Last Name:ZWEIFEL
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1185 GUERNSEY CUT OFF
Mailing Address - Street 2:
Mailing Address - City:POTLATCH
Mailing Address - State:ID
Mailing Address - Zip Code:83855-9649
Mailing Address - Country:US
Mailing Address - Phone:208-875-1191
Mailing Address - Fax:
Practice Address - Street 1:WASHINGTON STATE UNIVERSITY
Practice Address - Street 2:PEB 122
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99164-0001
Practice Address - Country:US
Practice Address - Phone:509-335-0307
Practice Address - Fax:509-335-4594
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer