Provider Demographics
NPI:1548373871
Name:ZABOROWSKI, EWA (DPT)
Entity type:Individual
Prefix:
First Name:EWA
Middle Name:
Last Name:ZABOROWSKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:EWA
Other - Middle Name:
Other - Last Name:ZABOROWSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:PO BOX 10755
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94912-0755
Mailing Address - Country:US
Mailing Address - Phone:415-491-1210
Mailing Address - Fax:415-491-4647
Practice Address - Street 1:591 REDWOOD HGWY., SUITE 5210
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941
Practice Address - Country:US
Practice Address - Phone:415-381-9030
Practice Address - Fax:415-381-9040
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT19645225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT19645OtherREGISTERED PHYSICAL THERA