Provider Demographics
NPI:1861236861
Name:ZUIDERWEG, ALAYNA (DPT)
Entity type:Individual
Prefix:
First Name:ALAYNA
Middle Name:
Last Name:ZUIDERWEG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4323 S CONGRESS AVE APT 2348
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-0072
Mailing Address - Country:US
Mailing Address - Phone:614-309-0164
Mailing Address - Fax:
Practice Address - Street 1:5200 DAVIS LN BLDG A
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-4071
Practice Address - Country:US
Practice Address - Phone:512-301-8747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1385921225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist