Provider Demographics
NPI:1770554388
Name:ZUERLEIN, AUSTIN BRIAN (ATC)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:BRIAN
Last Name:ZUERLEIN
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16792 TALISMAN LN
Mailing Address - Street 2:APT. 104
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-3136
Mailing Address - Country:US
Mailing Address - Phone:215-962-9545
Mailing Address - Fax:
Practice Address - Street 1:16792 TALISMAN LN
Practice Address - Street 2:APT. 104
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-3136
Practice Address - Country:US
Practice Address - Phone:215-962-9545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer