Provider Demographics
NPI:1366792392
Name:ZEMPER, LAURIE JOAN (PTA)
Entity type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:JOAN
Last Name:ZEMPER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1128 CURZON ST
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-4180
Mailing Address - Country:US
Mailing Address - Phone:517-552-1694
Mailing Address - Fax:
Practice Address - Street 1:1128 CURZON ST
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-4180
Practice Address - Country:US
Practice Address - Phone:517-552-1694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5502003622225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant