Zackary Fedorka DPT

NPI 1508279084 - Physical Therapist - 2251X0800X

NPI Details
NPI 1508279084
Gender Male
Enumeration Date 06/03/2014
Last Updated 06/03/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
3131 S STATE ST
ANN ARBOR MI, 48108-1658, US
Phone (734) 213-6285
Fax
Business Location
7700 STONEWOOD DR NW
NORTH CANTON OH, 44720-5240, US
Phone (330) 936-5006
Fax
Toxanomy
Taxonomy Code 2251X0800X
License State Ohio
License Number PT.014820
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According to our database, Zackary Fedorka DPT NPI is 1508279084, taxonomy code is 2251X0800X and license number is PT.014820, license state is located at Ohio. Zackary Fedorka DPT physically located at 3131 S State St, Ann Arbor MI, 48108-1658. NPI Number Zackary Fedorka DPT has the Individual type.

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1508279084 NPI number is provided on an as is basis without warranty of any kind. 1508279084 is maintained by the National Plan & Provider Enumeration System. The contents of Zackary Fedorka DPT are for informational purposes only.