Provider Demographics
NPI:1013423995
Name:ZOLTY, BRYN (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:BRYN
Middle Name:
Last Name:ZOLTY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 WHITEHORSE MERCERVILLE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3833
Mailing Address - Country:US
Mailing Address - Phone:609-584-4770
Mailing Address - Fax:609-584-4880
Practice Address - Street 1:1675 WHITEHORSE MERCERVILLE RD STE 101
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3833
Practice Address - Country:US
Practice Address - Phone:609-584-4770
Practice Address - Fax:609-584-4880
Is Sole Proprietor?:No
Enumeration Date:2017-12-14
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01372900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist