Provider Demographics
NPI:1386895597
Name:DZURENDA, MEREDITH ANN (PT)
Entity type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:ANN
Last Name:DZURENDA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 S NEGLEY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1658
Mailing Address - Country:US
Mailing Address - Phone:412-665-2400
Mailing Address - Fax:412-661-1306
Practice Address - Street 1:550 S NEGLEY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1658
Practice Address - Country:US
Practice Address - Phone:412-665-2400
Practice Address - Fax:412-661-1306
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT011229L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist