Provider Demographics
NPI:1437321825
Name:ZURBUCH, KEITH EDWARD (PT)
Entity type:Individual
Prefix:
First Name:KEITH
Middle Name:EDWARD
Last Name:ZURBUCH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7817 BALTIMORE NATIONAL PIKE
Mailing Address - Street 2:SUITE A
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-3521
Mailing Address - Country:US
Mailing Address - Phone:301-473-4065
Mailing Address - Fax:
Practice Address - Street 1:7817 BALTIMORE NATIONAL PIKE
Practice Address - Street 2:SUITE A
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-3521
Practice Address - Country:US
Practice Address - Phone:301-473-4065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-26
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21266225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist