Provider Demographics
NPI:1770790156
Name:ZORN, PATRICIA M (PT)
Entity type:Individual
Prefix:MISS
First Name:PATRICIA
Middle Name:M
Last Name:ZORN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1551 FAWNVALLEY DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-4221
Mailing Address - Country:US
Mailing Address - Phone:314-822-9877
Mailing Address - Fax:
Practice Address - Street 1:2821 N BALLAS RD STE C25
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2326
Practice Address - Country:US
Practice Address - Phone:314-432-3111
Practice Address - Fax:314-432-3177
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01419225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO144503OtherBLUE CROSS BLUE SHIELD