Provider Demographics
NPI:1063577195
Name:ZERBST, REBECCA LAN (PT)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:LAN
Last Name:ZERBST
Suffix:
Gender:F
Credentials:PT
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:732 E CHAPMAN AVE
Mailing Address - Street 2:SPECTRUM PHYSICAL THERAPY, INC.
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92866-1621
Mailing Address - Country:US
Mailing Address - Phone:714-633-8535
Mailing Address - Fax:714-633-2684
Practice Address - Street 1:732 E CHAPMAN AVE
Practice Address - Street 2:SPECTRUM PHYSICAL THERAPY, INC.
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-1621
Practice Address - Country:US
Practice Address - Phone:714-633-8535
Practice Address - Fax:714-633-2684
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT10534225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT10534Medicare UPIN