Provider Demographics
NPI:1881708923
Name:ZECHER, STEPHEN WILLIAM (MPT, PT, OCS)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:WILLIAM
Last Name:ZECHER
Suffix:
Gender:M
Credentials:MPT, PT, OCS
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Mailing Address - Street 1:900 E WASHINGTON ST
Mailing Address - Street 2:STE 200
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-4192
Mailing Address - Country:US
Mailing Address - Phone:909-882-5867
Mailing Address - Fax:909-824-8233
Practice Address - Street 1:10431 COMMERCE ST STE A
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-2833
Practice Address - Country:US
Practice Address - Phone:909-796-7700
Practice Address - Fax:909-796-4384
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPT10678225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPT106731Medicare PIN
CAZZZ23565ZMedicare PIN