Individual ProviderBrian T ZakStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address121 S Green Dr, Athens, OH 45701-3100(440) 305-1199PECOS EnrollmentBased on the most recent information from CMS, provider Brian T Zak does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1316411887Provider TypeIndividualFull NameZak, Brian TGenderMaleSole ProprietorYesEnumeration Date1/17/2019Last Updated1/17/2019Contact InformationPractice LocationPractice Address121 S Green Dr, Athens, OH 45701-3100Phone(440) 305-1199FaxUnlisted FaxMailing LocationMailing Address3004 Century Ln, Avon, OH 44011-2185Phone(440) 305-1199FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode2255A2300XDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer