Basic Information
| Provider Information | |||||||||
| NPI: | 1003297003 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZERBE | ||||||||
| FirstName: | JOHN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1601 TOWN COMMONS DR APT 204 | ||||||||
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| City: | HOWELL | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488556800 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1602 BYRON RD | ||||||||
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| City: | HOWELL | ||||||||
| State: | MI | ||||||||
| PostalCode: | 488557764 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5173885977 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2015 | ||||||||
| LastUpdateDate: | 06/15/2015 | ||||||||
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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 | 225200000X | 5502000678 | MI | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.