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Individual
ZACKARY FEDORKA
Active
Individual
ZACKARY FEDORKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11499
TN
2251X0800X
Orthopedic Physical Therapist
PT.014820
OH
Other
Enumeration date
06/03/2014
Last updated
10/12/2024
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