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Individual
ZACHARY SMITH
Active
Individual
ZACHARY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070020900
IL
2251X0800X
Orthopedic Physical Therapist
070.020900
IL
Other
Enumeration date
10/15/2014
Last updated
06/10/2021
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