Provider Demographics
NPI:1528092855
Name:ZUBER, PETER ALAN (PT)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:ALAN
Last Name:ZUBER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 BURNETT DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-2205
Mailing Address - Country:US
Mailing Address - Phone:302-478-0357
Mailing Address - Fax:
Practice Address - Street 1:3234C KIRKWOOD HIGHWAY
Practice Address - Street 2:BLUE HEN PHYSICAL THERAPY
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808
Practice Address - Country:US
Practice Address - Phone:302-995-1741
Practice Address - Fax:302-995-6987
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ10000332225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
568633ZBSXMedicare PIN
DEG00716Medicare UPIN