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Contact Information

ZACHARY D PEVNICK, DPT
12655 W JEFFERSON BLVD FL 4
LOS ANGELES, CA90066-7008
 Phone: 310-907-9215
 Fax: 310-953-3281
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Physical Therapy

261QP2000X
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ZACHARY D PEVNICK · (Male)

NPI Number 1578879516
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 08/27/2010
Last updated 07/10/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 36828
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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