Provider Demographics
NPI:1992844005
Name:HOLLANDER, RENEE ZIGUN (PT)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:ZIGUN
Last Name:HOLLANDER
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 1:1513 SQUIRE LN
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1536
Mailing Address - Country:US
Mailing Address - Phone:856-424-4774
Mailing Address - Fax:
Practice Address - Street 1:1513 SQUIRE LN
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-1536
Practice Address - Country:US
Practice Address - Phone:856-424-4774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00676900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist