Provider Demographics
NPI:1558068221
Name:LAWLER, ZOE (PT, DPT)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:
Last Name:LAWLER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ZOE
Other - Middle Name:
Other - Last Name:KIENENBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:4205 SAN FELIPE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95135-1546
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:333 SOQUEL WAY
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4102
Practice Address - Country:US
Practice Address - Phone:408-736-7600
Practice Address - Fax:760-736-7604
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA303675225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1053320325OtherNON - MEDICARE
CAZZZ29361ZOtherNON - MEDICARE