Provider Demographics
NPI:1316278401
Name:ZHANG, PAN (DPT)
Entity type:Individual
Prefix:
First Name:PAN
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 AGNEW RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-9701
Mailing Address - Country:US
Mailing Address - Phone:724-552-7270
Mailing Address - Fax:
Practice Address - Street 1:120 LYTTON AVE
Practice Address - Street 2:SUITE 275
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-1481
Practice Address - Country:US
Practice Address - Phone:412-621-5430
Practice Address - Fax:412-621-5460
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT020384261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy