Provider Demographics
NPI:1821412750
Name:ZURN, BARBARA JO (PT)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JO
Last Name:ZURN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:JO
Other - Last Name:HORVATH-ZURN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1280 CHANDLER DR
Mailing Address - Street 2:
Mailing Address - City:SPOONER
Mailing Address - State:WI
Mailing Address - Zip Code:54801-2202
Mailing Address - Country:US
Mailing Address - Phone:715-939-1745
Mailing Address - Fax:715-939-1557
Practice Address - Street 1:1280 CHANDLER DR
Practice Address - Street 2:
Practice Address - City:SPOONER
Practice Address - State:WI
Practice Address - Zip Code:54801-1201
Practice Address - Country:US
Practice Address - Phone:715-939-1745
Practice Address - Fax:715-939-1557
Is Sole Proprietor?:No
Enumeration Date:2014-02-12
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12593-24225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100035960Medicaid