Provider Demographics
NPI:1295485399
Name:CONSIGLIO-LAHTI, ZANE LEVI (DPT)
Entity type:Individual
Prefix:
First Name:ZANE
Middle Name:LEVI
Last Name:CONSIGLIO-LAHTI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7362 TEAK WAY
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-1529
Mailing Address - Country:US
Mailing Address - Phone:541-619-7976
Mailing Address - Fax:
Practice Address - Street 1:7362 TEAK WAY
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-1529
Practice Address - Country:US
Practice Address - Phone:541-619-7976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-24
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36032225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist