Zoucha, Jennifer A
Zoucha, Jennifer A is an individual health care provider with primary practice located at 2424 N Wyatt Dr # 130 , Tucson AZ 85712-6115. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Zoucha, Jennifer A can be contacted via phone (520) 784-6200.Contact Information
Primary practice address
2424 N Wyatt Dr # 130
Tucson AZ 85712-6115
Phone: (520) 784-6200
Fax: (520) 784-6109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6134 | Arizona |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 6134 | Arizona |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 6134 | Arizona |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | 6134 | Arizona |
Profile Details
| NPI number | 1023008273 |
|---|---|
| LBN Legal business name | Zoucha, Jennifer A |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Jul 3rd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023008273 | NPPES |
| Other | AZ0460450 | BCBS | |
| MEDICAID | 791097 | BCBS |
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