Provider Demographics
NPI:1669936449
Name:ZHANG, VIVIAN (PT, DPT, MS)
Entity type:Individual
Prefix:
First Name:VIVIAN
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:PT, DPT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 W PEACHTREE ST NW UNIT 1105
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3876
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:156 WILLIAM ST RM 800
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-5347
Practice Address - Country:US
Practice Address - Phone:212-267-0240
Practice Address - Fax:866-928-4144
Is Sole Proprietor?:No
Enumeration Date:2019-01-26
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist