Provider Demographics
NPI:1992865000
Name:ZENTZ, ROBERT LOUIS (MS,PT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:LOUIS
Last Name:ZENTZ
Suffix:
Gender:M
Credentials:MS,PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 41
Mailing Address - Street 2:
Mailing Address - City:SILVER LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:14549-0041
Mailing Address - Country:US
Mailing Address - Phone:585-507-0106
Mailing Address - Fax:
Practice Address - Street 1:2333 STATE ROUTE 19 N
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569-9356
Practice Address - Country:US
Practice Address - Phone:585-786-8700
Practice Address - Fax:585-786-2659
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022703225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist