Basic Information
| Provider Information | |||||||||
| NPI: | 1528092855 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZUBER | ||||||||
| FirstName: | PETER | ||||||||
| MiddleName: | ALAN | ||||||||
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| Credential: | P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 16 BURNETT DR | ||||||||
| Address2: | |||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198102205 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3024780357 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3234C KIRKWOOD HIGHWAY | ||||||||
| Address2: | BLUE HEN PHYSICAL THERAPY | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 19808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3029951741 | ||||||||
| FaxNumber: | 3029956987 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2006 | ||||||||
| LastUpdateDate: | 11/03/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | J10000332 | DE | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.