Provider Demographics
NPI:1962722801
Name:ZENZ, MARIA JANE (MPT)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:JANE
Last Name:ZENZ
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:JANE
Other - Last Name:STEINEMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:12 EAGLE DRIVE
Mailing Address - Street 2:
Mailing Address - City:MINSTER
Mailing Address - State:OH
Mailing Address - Zip Code:45865
Mailing Address - Country:US
Mailing Address - Phone:937-726-9005
Mailing Address - Fax:419-628-3506
Practice Address - Street 1:12 EAGLE DRIVE
Practice Address - Street 2:
Practice Address - City:MINSTER
Practice Address - State:OH
Practice Address - Zip Code:45865
Practice Address - Country:US
Practice Address - Phone:937-726-9005
Practice Address - Fax:419-628-3506
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-02
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT012795225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist