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Individual

JOHN-PETER ZENTHOEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6177 RIVER CREST DR, #A, RIVERSIDE, CA 92507-0728
(951) 653-4480
Mailing address
6177 RIVER CREST DR, #A, RIVERSIDE, CA 92507-0728
(951) 653-4480

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT 40783
CA
225100000X
Physical Therapist
PTL.0014183
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT 40783
PT LICENSE
CA
Enumeration date
05/01/2014
Last updated
08/17/2016
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