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Individual

IRENE A ZACHRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6239 YELLOWSTONE DR. PORT ORANGE FL, PORT ORANGE, FL 32127
(386) 872-4892
(386) 256-2159
Mailing address
6239 YELLOWSTONE DR. PORT ORANGE FL, PORT ORANGE, FL 32127
(386) 872-4892
(386) 256-2159

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
12/16/2016
Last updated
12/16/2016
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