Bethany Lynn Zich, PT, DPT, ATC
Physical Therapist in Champaign, IL. Individual provider (NPI-1).
NPI number1669909644
StatusActive
Last updated in NPPESMay 22, 2017
Details
- NPI
- 1669909644
- Entity type
- Individual (NPI-1)
- Name
- Bethany Lynn Zich
- Credential
- PT, DPT, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2017
- Last updated
- May 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 32307 | FL | Yes |
Practice location
2110 Fox DrChampaign, IL 61820-7553
Phone 217-366-1237
Mailing address
206 W White StChampaign, IL 61820-4804
Phone 217-366-1270
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