Provider Demographics
NPI:1770967119
Name:ZHANG, ZIYAN (DPT)
Entity type:Individual
Prefix:
First Name:ZIYAN
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:
Other - Last Name:ZHANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3609 SW DURHAM DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6507
Mailing Address - Country:US
Mailing Address - Phone:919-613-5001
Mailing Address - Fax:919-419-8972
Practice Address - Street 1:3609 SW DURHAM DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6507
Practice Address - Country:US
Practice Address - Phone:919-613-5001
Practice Address - Fax:919-419-8972
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-15
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP15544225100000X
FLPT297162251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist